Journal of AdvancedMedical and Dental Sciences Research

Background: Ocular surface disorders refer to a group of eye conditions that affect the outermost part of the eye, including the cornea and conjunctiva. The present study was conducted to evaluate ocular surface disorders in patients with diabetes mellitus. Materials & Methods: 60 diabetes mellitus patients with ocular surface disorders of both genders were enrolled. The two groups were formed. Patients with type II DM with ocular illness made up group I, and healthy controls made up group II. The tear film break-up time (BUT), Schirmer, fluorescein, and rose bengal dye tests were performed for each individual. Results: Out of 60 patients, males were 35 and females were 25. Tear function test was 8.21 seconds in group I and 13.7 seconds in group II, schirmer test was 8.82 mm in group I and 16.9 mm in group II, fluorescein staining was seen in 10 in group I and 4 in group II and Rose Bengal staining was positive in 20 in group I and 5 patients in group II. The difference was significant (P< 0.05). Tear film BUT and schirmer test found to be 10.9 seconds and 10.1 mm in good and 8.34 seconds and 6.86 mm in poor glycaemic control patients. Tear film BUT in patients with <10 years of diabetes was 9.29 seconds and >10 years of diabetes was 8.13 seconds. Schirmer test revealed 10.2 mm and 6.51 mm respectively. It was 9.57 seconds and 10.6 mm in NPDR and 7.81 seconds and 7.5 mm in PDR respectively. Conclusion: Type II diabetes raises the risk of tear dysfunction and ocular surface problems due to poor metabolic management, panretinal ALP, and PDR.