J Prev Med Public Health.  2011 Jul;44(4):157-166. 10.3961/jpmph.2011.44.4.157.

Intraocular Pressure and Its Determinants in Subjects With Type 2 Diabetes Mellitus in India

• Biswas S
• Raman R
• Koluthungan V
• Sharma T

• KMID: 1018395
• DOI: http://doi.org/10.3961/jpmph.2011.44.4.157

Abstract

OBJECTIVES
This study was conducted to show the intraocular pressure (IOP) distribution and the factors affecting IOP in subjects with type 2 diabetes mellitus (DM) in India.
METHODS
We measured the anthropometric and biochemical parameters for confirmed type 2 DM patients. A comprehensive ocular examination was performed for 1377 subjects aged > 40 years and residing in Chennai.
RESULTS
A significant difference in IOP (mean +/- standard deviation) was found between men and women (14.6+/-2.9 and 15.0+/-2.8 mmHg, p = 0.005). A significantly elevated IOP was observed among smokers, subjects with systemic hypertension and women with clinically significant macular edema (CSME). After a univariate analysis, factors associated significantly with higher IOP were elevated systolic blood pressure, elevated resting pulse rate and thicker central corneal thickness (CCT). In women, elevated glycosylated hemoglobin was associated with a higher IOP. After adjusting for all variables, the elevated resting pulse rate and CCT were found to be associated with a higher IOP.
CONCLUSIONS
Systemic hypertension, smoking, pulse rate and CCT were associated with elevated intraocular pressure in type 2 DM. Women with type 2 DM, especially those with CSME, were more prone to have an elevated IOP.

Keyword

Type 2 diabetes mellitus; Intraocular pressure; Central corneal thickness; Risk factors

MeSH Terms

Adult
Aged
Blood Pressure
Cornea/physiology
Diabetes Mellitus, Type 2/complications/*physiopathology
Female
Heart Rate
Hemoglobin A, Glycosylated/metabolism
Humans
Hypertension/complications
India
Intraocular Pressure/*physiology
Macular Edema/complications
Male
Middle Aged
Risk Factors
Smoking