The Analysis Of The Related Factors Of Diabetes With High Intraocular Pressure

Objective：To investigate the clinical features and the related factors oftype2diabetes mellitus with high intraocular pressure.Methods：The essay is divided into two parts. The first part of theinformation is based on240cases (480eyes) with and without type2diabetesmellitus patients respetively from the First Bethune Hospital of Jilin Universityin March2010to December2011, to analyze the correlation of the patientswith fasting blood glucose and non-contact intraocular pressure. The secondpart of the information is based on the first part of type2diabetes mellituspatients with intraocular pressure higher than21mmHg in any eyes.Prospective analysis of type2diabetes mellitus patients with high intraocularpressure, whether the intraocular pressure increase have a relationship withfasting blood glucose increase.Results：In the first part, the difference between the number of the type2diabetes mellitus and of high intraocular pressure have statistically significance,which presents that the high intraocular pressure incidence of diabetes washigher than nondiabetics. The diabetic’ s intraocular pressure and fasting bloodsugar exist linear correlation relationship, and the correlation coefficient equalsto0.456. The undiabetic’ s intraocular pressure and fasting blood sugar does notexist linear correlation relationship.In the second part, the patients of the type2diabetes mentioned abovewith higher noncontact intraocular pressure than21mmHg (either eye) aredetected in38cases (65eyes). On The Goldmann applanation tonometeradjustment, the intraocular pressure is between21.0～27.0mmHg (Av22.0±2.29mmHg), of which,6cases (12eyes) were first diagnosed as primaryglaucoma. For the continuous three days the morning measurements on intraocular pressure and the fasting blood glucose value, statistically correlationequals0.834. High intraocular pressure is not statistically correlated with theduration of diabetes, the stages of diabetic retinopathy, sex, age, body massindex by controlling the central corneal thickness, anterior chamber angle andanterior chamber depth. None of26cases (46eyes) high intraocular pressurepatients of wild anterior angle after pupil dilation has glaucoma, withintraocular pressure dropping by an average of0.87mmHg, and of which11cases (16eyes) are lower than21mmHg the next day.Conclusions：1. The high intraocular pressure incidence of diabetic ishigher than nondiabetic.2. Diabetic’s intraocular pressure and fasting bloodsugar exist linear correlation relationship, and the correlation coefficient equalsto0.456. Undiabetic’ s intraocular pressure and fasting blood sugar do not existlinear correlation relationship.3. Diabetic combined with high intraocularpressure for3continuous days, the diversification ofintraocular pressure valueand fasting blood sugar value have related statistically significance, and thecorrelation coefficient equals to0.834.4. High intraocular pressure andduration of diabetes, diabetic retinopathy stage, sex, age, body mass index haveno statistically relevance.5. The diabetic patients of the high intraocularpressure of wild anterior angle can do fundus examinations after pupil dilation,after which the intraocular pressure may drop.6. The patients who have beendiagnosed of diabetes, should not only accept the fundus examinations for theophthalmic consultation, but also should be routinely examined on intraocularpressure, to avoid or early prevent diabetes patients from glaucoma andblindness.