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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
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2/2007
vol. 109
 
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abstract:
Case report

Disadvantageous course of ophthalmological changes in young women with long-lasting diabetes mellitus followed by the symptoms of anorexia nervosa

Jadwiga Bernardczyk-Meller
1
,
Anna Napierała
1
,
Joanna Siwiec-Prościńska
1
,
Anna Lubczyńska
1
,
Jarosław Kocięcki
1

  1. Katedra i Klinika Okulistyki Akademii Medycznej w Poznaniu
Klinika Oczna 2007, 109 (2): 220-225
Online publish date: 2007/06/12
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Purpose
To present the course and progression of very severe proliferative retinopathy in young women with long lasting diabetes mellitus and symptoms of anorexia nervosa.

Material and methods
The data of 5 young women, in age 25-32 years, suffering from diabetes mellitus 15 to 29 years with intended weight lose. The progression of ophthalmological changes was observed, followed by considerable fluctuations of glucose blood.

Results
In the time of weight lose in all patients, the worsening of the visual acuity was observed and it was the first reason for ophthalmological check-up. The initial best corrected visual acuity was 0.1-0.9. The rubeosis of the iris, cataracts and proliferative retinopathy with intravitreal hemorrhage and tractional retinal detachment were observed. Despite the immediate ophthalmological treatment ( lasertherapy, pars plana vitrectomy, criopexy and retinopexy) the useful visual acuity (>0.1) was maintained only in one eye.

Conclusions
1. In case of significant exacerbation of progression of ophthalmological changes in patients with long lasting diabetes mellitus and anorexia nervosa the monitoring of their psychological and physical conditions is essential. 2. In the case of weight lose in patients with long lasting diabetes mellitus the rigorous ophtalmological monthly consultations are obligate.

keywords:

type 1 of diabetes mellitus, diabetic retinopathy, anorexia nervosa, eating disorder

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