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A low endothelial count with endothelial pump dysfunction can contribute to corneal stromal hydration and loss of vision that can only be reversed by corneal transplantation,so this research proposed to detect any corneal endothelial changes related to DM , its duration and control of diabetes.
- To establish any correlation between endothelial changes , and the duration of diabetes, hemoglobin A1c (HbA1c) by using specular microscope to do morphological examination of corneal endothelial cells, makes the measurement of mean cell density (MCD), measurement of coefficient of variation (CV) in the cell size as well as hexagonal appearance of the cell. These parameters provide the functional status index of the corneal endothelial layer .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diabetes | Diabetes patients above 40 years |
| |
| Controls | Healthy controlled human beings have no medical histories |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Non-contact specular microscopy | Device | using specular microscope to do morphological examination of corneal endothelial cells |
|
| Measure | Description | Time Frame |
|---|---|---|
| Endothelial count | Corneal endothelial cell count, coefficient of variation, percentage of hexagonal cells and central corneal thickness will be evaluated and correlated to known normal values in the same healthy individual age group | 15 months |
| Measure | Description | Time Frame |
|---|---|---|
| Correlated change | Correlated change of corneal endotheliam to duration and control of DM | 15 months |
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Inclusion Criteria:
Exclusion Criteria:
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Not gender based from 40 years to 80 years diabetic patients
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