THE RELATIONSHIP OF THE DEGREE OF DRY EYE SYNDROME WITH THE DEGREE OF DIABETIC NEUROPATHY AT GOTONG ROYONG HOSPITAL SURABAYA
Abstract
Background: Dry eye syndrome is an uncomfortable condition in the eyesight caused by lubrication in the eyes and lack of moisture. The prevalence of dry eyes in Indonesia is 27.5% with an average age of more than 37 years. One of the risk factors for dry eye syndrome is diabetes mellitus. Dry eye syndrome is common in type 2 diabetes patients who experience polyneuropathy complications. Therefore, it is necessary to carry out further research regarding the relationship between dry eye syndrome and diabetic neuropathy.
Objective: To determine the relationship between the degree of dry eye syndrome and the degree of diabetic neuropathy at the Gotong Royong Hospital Surabaya.
Method: This research uses a correlation analytical research design with a cross sectional method. Sampling was carried out using a purposive sampling technique by looking for respondents according to predetermined criteria. Primary data was obtained through the results of examinations carried out on DM sufferers (Schirmer test and MNSI and MDNS questionnaires), while secondary data was obtained officially through medical records (HbA1c) from the Gotong Royong Hospital from August to October 2023. Data in the study were analyzed using tests Spearman's rho correlation. Results are significant if p<0.05.
Results: The total sample was 71 patients who met the inclusion and exclusion criteria. The average age of patients was 60.4 years. More males (54.9%) than females (45.1%). There were 58 patients with a diagnosis of dry eye syndrome with diabetic neuropathy (72%), 10 patients with a diagnosis of dry eye syndrome without diabetic neuropathy (14.1%), and 13 patients with a diagnosis of diabetic neuropathy without dry eye syndrome ( 18.3%). In the analysis of the Spearman's rho correlation test, the value of p = 0.000 (p<0.05) was obtained.
Conclusion: There is a relationship between the degree of dry eye syndrome and the degree of diabetic neuropathy at the Gotong Royong Hospital Surabaya.
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Barabino S. Is dry eye disease the same in young and old patients? A narrative review of the literature. BMC Ophthalmol. 2022;22(1):85. doi:10.1186/s12886-022-02269-2
Popescu S, Timar B, Baderca F, et al. Age as an independent factor for the development of neuropathy in diabetic patients. Clin Interv Aging. 2016;11:313-318. doi:10.2147/CIA.S97295
de Paiva CS. Effects of Aging in Dry Eye. Int Ophthalmol Clin. 2017;57(2):47-64. doi:10.1097/IIO.000000000000017 0
Bodman MA, Matthew Varacallo. Peripheral Diabetic Neuropathy.; 2023.
Matossian C, McDonald M, Donaldson KE, Nichols KK, MacIver S, Gupta PK. Dry Eye Disease: Consideration for Women’s Health. J Womens Health (Larchmt). 2019;28(4):502-514. doi:10.1089/jwh.2018.7041
Aaberg ML, Burch DM, Hud ZR, Zacharias MP. Gender differences in the onset of diabetic neuropathy. J Diabetes Complications. 2008;22(2):83-87. doi:10.1016/j.jdiacomp.2007.06.00 9
Almohammed BA, Alnafeesah AA, Aldharman SS, et al. Prevalence and Severity of Dry Eye Disease Symptoms Among Diabetics: A Nationwide Survey. Cureus. 2022;14(11):e30981. doi:10.7759/cureus.30981
Nozawa K, Ikeda M, Kikuchi S. Association Between HbA1c Levels and Diabetic Peripheral Neuropathy: A Case-Control Study of Patients with Type 2 Diabetes Using Claims Data. Drugs - real world outcomes. 2022;9(3):403- 414. doi:10.1007/s40801-022- 00309-3
Trindade M, Castro de Vasconcelos J, Ayub G, et al. Ocular Manifestations and Neuropathy in Type 2 Diabetes Patients With Charcot Arthropathy. Front Endocrinol (Lausanne). 2021;12(April):1-8. doi:10.3389/fendo.2021.5858
DOI: https://doi.org/10.33508/jwmj.v6i4.5647
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