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Accommodative ability in younger-onset diabetes.

S E Moss, R Klein, B E Klein

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |April 1, 1987
    PubMed
    Summary
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    Younger-onset diabetes significantly reduces accommodative ability, impacting vision in individuals under 45. Factors like longer diabetes duration and higher blood sugar levels further impair visual function.

    Area of Science:

    • Ophthalmology
    • Endocrinology
    • Diabetology

    Background:

    • Diabetes mellitus, particularly younger-onset forms, can lead to various complications affecting multiple organ systems.
    • Visual function, including accommodative ability, may be compromised in individuals with diabetes.
    • Understanding these relationships is crucial for managing diabetic eye disease and maintaining visual health.

    Purpose of the Study:

    • To investigate the association between younger-onset diabetes and accommodative ability.
    • To identify factors that influence accommodative amplitude in diabetic individuals.
    • To compare accommodative ability in diabetic patients with non-diabetic populations.

    Main Methods:

    • The study included younger-onset diabetic individuals (<45 years) from the Wisconsin Epidemiologic Study of Diabetic Retinopathy.

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  • Near point of accommodation was measured twice for each eye using a Prince rule with best distance correction.
  • Multiple linear regression analysis was employed to identify associated factors.

    • Main Results:

    • Mean amplitude of accommodation was reduced in the diabetic population compared to non-diabetic groups and previous reports.
    • Accommodative ability decreased with age in diabetic individuals.
    • Factors associated with decreased accommodation included female sex, absence of myopia, longer diabetes duration, higher glycosylated hemoglobin, higher blood glucose, increased retinopathy severity, and higher systolic blood pressure.

    Conclusions:

    • Younger-onset diabetes is linked to diminished accommodative ability.
    • Several glycemic and non-glycemic factors significantly impact visual function in diabetic patients.
    • Early detection and management of these factors are essential for preserving vision in diabetic individuals.