Proliferative diabetic retinopathy in unsuspected diabetes mellitus: a case report
DOI:
https://doi.org/10.31288/oftalmolzh201926769Keywords:
diabetes mellitus, unsuspected diabetes, latent diabetes, diabetic retinopathyAbstract
Introduction. According to World Health Organization, nowadays, the amount of diabetic patients has exceeded 1,000 million people, equaling 3% of the Earth population. Unsuspected diabetes mellitus is a disease in a latent form without acute symptomatology.
Purpose. To determine the etiology of retinopathy in the patients applied to the Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine.
Material and Methods. Seven patients underwent the treatment at Department for Inflammatory Eye Diseases in the Filatov Institute of Eye Diseases and Tissue Therapy. The patients complained of both distance and near visual loss. All patients were diagnosed proliferative DRP with neovascularization, hemorrhage, and exudates. Blood glucose tests were within normal ranges and did not exceed 5.8 mmol/l. In the course of the treatment, visual acuity improved by three lines, at an average.
Conclusion. As a result of ophthalmic examination, ophthalmic diagnosis, and, afterwards, endocrinological examination, all patients were diagnosed diabetes mellitus in a latent form.
References
1.Appel Sj, Wadas TM, Rosenthal RS, Ovalle F. Latent diabetes of adulthood: an often misdiagnosed type of diabetes mellitus. J Am Acad Nurse Pract. 2009;21:156-9. https://doi.org/10.1111/j.1745-7599.2009.00399.x
2.Lutgens M, Meiger M, Peeters B et al. Easily obtainable clinical features increase the diagnostic accurancy for latent diabetes in adults: an evidance-based report. Prim care Diabetes. 2008; 2:207-11.https://doi.org/10.1016/j.pcd.2008.08.003
3.Naik RG, Brooks-Worrell BM, Palmer JP. Latent diabetes in adults. Clin Endocrinol Metab. 2009;94:4635-44.https://doi.org/10.1210/jc.2009-1120
4.Pipi E, Marketou M, Tsirogianni A. Distinct clinical and laboratory characteristics of latent diabetes in adults in relation to type 1 and type 2 diabetes mellitus. World J Diabetes. 2014;5:505-10.https://doi.org/10.4239/wjd.v5.i4.505
5.Tuomi T, Groop LC, Zimmet PZ et al. Antibodies to glutamic acid decarboxylase reveal latent diabetes mellitus in adults with a non-insulin-dependent onset of disease. Diabetes. 1993;42:359-62.https://doi.org/10.2337/diab.42.2.359
6.Starkova N.T. [Clinical endocrinology. Guidance. 3rd Edition]. Saint Petersburg:Piter;2012. 576. Russian.
7.Kohner EM. Diabetic retinopathy. Brit. Med. Bull. 2004;5(1):148-73.https://doi.org/10.1093/oxfordjournals.bmb.a072309
8.Pasyechnikova NV. [Laser treatment in pathology of the eye fundus]. K.: Naukova dumka; 2007. 206 p. Russian.
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Copyright (c) 2025 А. В. Зборовская, Т. С. Пилькевич, Н. Б. Курыльцив, Н. А. Самолук
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