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[Optic neuropathy in diabetics (author's transl)]
Klinische Monatsblatter Fur Augenheilkunde
|April 1, 1980
Summary
Diabetic neuropathy can affect vision. This study found increasing optic neuropathy signs, including impaired color vision, in diabetics with more severe neuropathy, impacting self-monitoring accuracy.
Area of Science:
- Ophthalmology
- Neurology
- Endocrinology
Context:
- Diabetic neuropathy is a common complication of diabetes mellitus.
- Peripheral and autonomic nervous system involvement are key indicators of diabetic neuropathy severity.
- Optic and trigeminal neuropathies are less commonly studied in diabetic populations.
Purpose:
- To investigate the prevalence and characteristics of optic and trigeminal neuropathy in patients with varying degrees of diabetic neuropathy.
- To assess the correlation between the severity of diabetic neuropathy and the presence of ocular and trigeminal nerve dysfunction.
Summary:
- Signs of optic neuropathy, including visual field constriction, impaired color vision, reduced visually evoked responses, and decreased corneal sensitivity, were observed in all diabetic groups.
- The frequency of these signs increased progressively from diabetic patients without neuropathy (Group I) to those with peripheral neuropathy (Group II) and further to those with peripheral and autonomic neuropathy (Group III).
- Impaired color vision was a notable finding, potentially affecting patients' ability to accurately interpret urine glucose tests.
Impact:
- Highlights the underrecognized impact of diabetic neuropathy on visual function.
- Suggests routine ophthalmological screening may be beneficial for diabetic patients, especially those with advanced neuropathy.
- Emphasizes the clinical significance of impaired color vision in diabetic patients for accurate self-management of blood glucose levels.