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KMID : 1151620180030010026
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Journal of Retina
2018 Volume.3 No. 1 p.26 ~ p.33
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Axial Myopia and Low HbA1c Level are Correlated and Have a Suppressive Effect on Diabetes and Diabetic Retinopathy
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Kim Hong-Kyu
Rim Tyler Hyung-Taek
Yang Jong-Yun
Kim Soo-Han
Kim Sung-Soo
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Abstract
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Purpose: The aim of this study was to investigate whether axial myopia has a suppressive effect on diabetes and diabetic retinopathy.
Methods: This retrospective, cross-sectional study used propensity-score matching to explore the correlations between axial myopia and diabetes and diabetic retinopathy. This study included patients who underwent ophthalmic surgery, including cataract surgery, between April 2009 and July 2016.
Results: With an increase of the axial length (AL < 24 mm; 24 mm ≤ AL < 26 mm; and AL ≥ 26 mm) in axial myopia, the prevalence of diabetes (35.9%, 27.9%, and 20.1%, respectively) and diabetic retinopathy (43.3%, 31.2%, and 24.1%, respectively) decreased (p < 0.001 and = 0.001, respectively). Similarly, glycosylated hemoglobin (HbA1c) level (7.00%, 6.67%, and 6.44%, respectively) decreased with an increase of AL in axial myopia (p < 0.001). Axial length and HbA1c level were significantly and negatively correlated, as determined by partial correlation analysis after adjusting for age and sex (r = -0.127; p < 0.001).
Conclusions: Axial myopia and low HbA1c level are correlated and have a suppressive effect on diabetes and diabetic retinopathy.
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KEYWORD
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Axial length, Diabetes mellitus, Diabetic retinopathy, Glycosylated hemoglobin, Myopia
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