Corneal hypesthesia and retinopathy in diabetes mellitus.

Abstract:

:Testing with the Cochet-Bonnet esthesiometer revealed a strong correlation between corneal sensitivity and retinal status in a group of diabetic patients. Eyes with normal fundi had normal corneal sensitivity. Those with background retinopathy had somewhat poliferative retinopathyl showed a greater loss of sensitivity. Eyes that had received panretinal photocoagulation treatment demonstrated the most severe reduction in corneal sensation. Two independent processes appear to be responsible for the observed data: in untreated patients, corneal hypesthesia is a form of diabetic sensory neuropathy, while the hypesthesia associated with laser treatment is attributed to laser damage to sensory nerves lying beneath the choroid. The data show that corneal sensitivity testing can be used as a simple, sensitive, and accurate screening test for proliferative diabetic retinopathy.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Rogell GD

doi

10.1016/s0161-6420(80)35257-3

subject

Has Abstract

pub_date

1980-03-01 00:00:00

pages

229-33

issue

3

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(80)35257-3

journal_volume

87

pub_type

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