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首页> 外文期刊>Journal of diabetes >Refraction paradox in diabetics: An extreme case of transient hyperopia
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Refraction paradox in diabetics: An extreme case of transient hyperopia

机译：在糖尿病患者折射悖论:一个极端的例子瞬态的远视

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A 55-year-old woman presented with bilateral blurred vision. The patient complained about her new glasses (prescribed as +1.50 D bilaterally for distance correction and +3.50 D bilaterally for near correction 2 weeks prior to presentation), which became suddenly inadequate for both near and distance vision. The patient's blurred vision had started 3-4 days after she had started an oral hypoglycemic agent (OHA; gliclazide 80 mg) because of newly diagnosed non-insulin dependent diabetes mellitus (fasting blood glucose [FBG] 320 mg/dL and HbAlc 10.12% at the time of diagnosis). The corneal thickness (CT), anterior chamber depth (ACD), lens thickness (LT), and axial length (AL) of the eye were measured. Best corrected visual acuity (BCVA) was 20/20 with a +3.25 D correction bilaterally. At first presentation, the patient's FBG was 125 mg/dL. Seven days later, her FBG was 149 mg/dL and her BCVA was 20/20 with a +5.00 D hyperopic correction. Serial ophthalmological examinations showed hyperopic shift in an otherwise normal eye even though FBG levels were normal. The hyperopic shift reached peak values (+6.50 D in both eyes) 3 weeks after the diagnosis of diabetes, decreasing gradually after the beginning of OHA treatment. Original levels (+1.50 D in both eyes) were reached by Week 8. The BCVA remained stable (20/20 for both eyes) with normal anterior segment structures and fundus. There were no significant changes in CT, average keratometry (K) values, AL, ACD, and LT during follow-up.
机译：一个55岁的女人面对两国视力模糊。新眼镜(规定为+ 1.50 D双边距离校正和+ 3.50 D双边为校正前2周附近),突然变得不足近和距离的愿景。视力模糊开始后3 - 4天开始口服降血糖药(OHA;格列齐特80毫克),因为新诊断是非胰岛素依赖型糖尿病(禁食血糖(FBG) 320 mg / dL, HbAlc 10.12%诊断时)。(CT)、前房深度(ACD)镜头厚度(LT)和轴向长度(AL)的眼睛被测量。(BCVA)是20/20 + 3.25 D修正双边。光纤光栅是125 mg / dL。149 mg / dL, BCVA 20/20 + 5.00 D远视的修正。检查显示一个远视的转变否则正常眼尽管光纤光栅水平正常的。(+ 6.50 D两眼)3周后诊断为糖尿病,后逐渐减少OHA治疗的开始。在两只眼睛(+ 1.50 D)达成的第八周。双眼BCVA保持稳定(20/20)与正常结构和前部分眼底。平均角膜散光计(K)值、AL、ACD和LT在随访中。

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