Search In this Thesis
   Search In this Thesis  
العنوان
Assessment of Corneal Endothelial
changes in type II Diabetes Mellitus by
Non-Contact Specular Microscope /
المؤلف
Gendy, Jeremiah Ehab Fahmy.
هيئة الاعداد
باحث / Jeremiah Ehab Fahmy Gendy
مشرف / Nadia Mohamed El-Mowafy
مشرف / Mona Mohamed El Fiky
مناقش / Yasmine Maher Shaaban
تاريخ النشر
2019.
عدد الصفحات
124p.:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب العيون
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - رمد
الفهرس
Only 14 pages are availabe for public view

from 124

from 124

Abstract

Summary
The study included 17 males and 13 females in the non-diabetic control group while in the diabetic group it included 16 males and 14 females. By comparing the demographic data of the two study groups, no significant difference (p>0.05) was found. The same results were obtained in data regarding the age.
Comparing both groups regarding the cell count, density and average cell size showed a highly significant difference (p<0.05).
While Comparing the coefficient of variation and the percentage of hexagonal cells in both groups showed a significant difference (p<0.05).
Diabetes mellitus prevalence worldwide has showed a pronounced rise during the most recent years. Due to its subtle complications in the cornea not much attention had been drawn to it. However, our study indicated the need to protect the cornea of diabetic patients. A simple and cheap method for evaluation of the corneal endothelium is the specular microscope. It could be of special beneficence in patients undergoing intraocular eye surgery as part of the pre-operative evaluation to identify those at high risk of developing corneal decompensation. Significantly improving the outcome of the surgeries by taking the necessary precautions. Diabetic patients may appear to have a normal cornea but this mainly due to the tremendous ability of the corneal endothelium to adapt to the cell loss before any manifestations could appear. Corneal decompensation only appears when the endothelial cell count is significantly reduced exceeding its capability to counterbalance the defect. Which may be precipitated by minimal stress that usually has minor effects on the normal cornea. Part of our recommendations is to screen the diabetic patients pre-operatively to identify those at risk and further preventing morbidity