Ocular Complications in Children with Diabetes Mellitus

Ophthalmology
Megan M GeloneckGil Binenbaum

Abstract

The effectiveness of annual eye examinations in diabetic children is unclear. We sought to determine the prevalence and onset of ocular pathology in children with diabetes mellitus (DM), identify risk factors for ocular disease, and recommend a screening regimen for asymptomatic children. Retrospective, consecutive cohort study. Children aged less than 18 years with type 1 or 2 DM examined over a 4-year period. All children underwent a complete eye examination, including dilated fundoscopy and cycloplegic refraction. A literature review was performed, identifying the youngest reported age and shortest reported duration of DM before the diagnosis of diabetic retinopathy (DR). Prevalence of DR, cataract, high refractive error, and strabismus. A total of 370 children (mean age, 11.2 years; range, 1-17.5 years) had 693 examinations, with a mean DM duration of 5.2 years (range, 0.1-16.2 years) and a mean hemoglobin A1c (HbA1c) of 8.6 (range, 5-≥14). No children had DR. A total of 12 children had cataract; 5 required extraction but were identified by decreased vision, not diabetic screening. A total of 19 children had strabismus; only 1 was microvascular paralytic strabismus. A total of 41 children had high refractive error. There we...Continue Reading

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Citations

Jul 20, 2016·Journal of Diabetes Research·Mohamed AnbarRamadan A Mahmoud
Apr 28, 2018·Pediatric Diabetes·Marie-Ève RobinsonJulia von Oettingen
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Mar 22, 2019·Journal of Ophthalmology·Ying XiaoHaidong Zou
Dec 10, 2020·Journal of Diabetes Research·Marta Wysocka-MincewiczMieczysław Szalecki
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Jul 3, 2021·Journal of Personalized Medicine·Marta Wysocka-MincewiczAndrzej Olechowski
Aug 21, 2021·Pediatric Diabetes·Brittany BruggemanLaura M Jacobsen

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