الفهرس 
Materials and methodsOnly 14 pages are availabe for public view
 |  | from | 122 |  |  |
| | | from | 122 | | |
Abstract
CONCLUSION AN’D SUMMARY
Insulin-dependent (type I) diabetes mellitus is a
common chronic and disabling disease and the eye,
unfortunately suffer a number of complications as a
result.
Our study included 65 insulin-dependent diabetic
patients in whom diabetes was diagnosed before the age
of 30 years. Thirty five patients were males (53.8%)
and thirty were females (46.2%). Their ages ranged
between 5 and 42 years and the duration of diabetes
varied between one year to twenty two years. The most
important ocular finding observed was diabetic
retinopathy (16.6%). No prepubertal cases in our study
developed retinopathy. The duration of diabetes proved
to be an important factor in the development of
retinopathy and no retinopathy cases in the studied
sample how diabetes for less than 5 years. The mean
duration of illness in the retinopathy cases was 11.8+
4.3 and the difference is statistically significant.
Our study showed that male patients were more prone to
develop retinopathy than females. It has apperent that
patients who were not strictly controlled were more
liable to develop retinopathy. In studied retinopathy
cases, 7 cases (63.4%) with apositive family history
and 4 cases (36.3%) with a negative family history of
~----~-._----~-_._---_._---------
-69-
juvenile diabetes mellitus. In mangement of
proliferative diabetic retinopathy pan retinal
photocoagulation was done for four cases and the
condition was controlled. It was shown that
insulin-dependent diabetic patients represents a
special problem and the achievement of steady metabolic
control is a hard job.
We hope that with the widespread use of new
methods of achieving glucose homeostasis, it would be
possible to control hyperglycemia, thereby decreasing
the incidence of ocular complications.
_._~----~-----
--_._----- ----- ------