Influence of blood glycemia levels in refraction, binocular vision and accommodation: a case report

This case report provides us with insight on how blood glycemia affects refraction, vergence and accommodation in a single diabetic patient. A 21-year-old type I diabetic woman was the subject studied in this report. Refraction, near and far fusional vergence ranges, near point of convergence, monoc...

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Detalles Bibliográficos
Autores: Argilés Sans, Marc|||0000-0001-5474-9832, Sala Oller, Jessica, Sunyer Grau, Bernat|||0000-0002-5261-0797, Rovira Gay, Cristina|||0000-0001-9765-1691, Pérez Maña, Luis|||0000-0002-8672-7803
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/405232
Acceso en línea:https://hdl.handle.net/2117/405232
https://dx.doi.org/10.3390/reports7020022
Access Level:acceso abierto
Palabra clave:Blood sugar
Binocular vision
Vision disorders
Eye -- Accomodation and refraction
Blood glycemia
Ocular accommodation
Glucèmia
Visió binocular
Trastorns de la visió
Ulls -- Acomodació i refracció
Àrees temàtiques de la UPC::Ciències de la visió::Optometria::Acomodació i refracció
Descripción
Sumario:This case report provides us with insight on how blood glycemia affects refraction, vergence and accommodation in a single diabetic patient. A 21-year-old type I diabetic woman was the subject studied in this report. Refraction, near and far fusional vergence ranges, near point of convergence, monocular accommodative facility, amplitude of accommodation, lag of accommodation, and near and far phoria, were measured before and after controlled caloric intake and insulin injection. Measurements were taken a total of 10 times, once a week for 10 consecutive weeks. Blood glycemia levels were provided by a measuring device that was attached to the patient’s body at all times. Statistically significant differences were found in the glucose levels before and after lunch, p = 0.041, sphere refraction of the right eye, p = 0.016, but not in the left eye, p = 0.051. Accommodative facility in both right and left eyes, p = 0.019, p = 0.028, respectively, and amplitude of accommodation, p = 0.016, p = 0.019, right and left eyes, respectively were statistically different before and after insulin injection. In a 21-year-old subject with type I diabetes, a diminution in blood glucose levels influences refractive myopic state, and is associated with a decrease in accommodative facility and in amplitude of accommodation.