Prevalence and distribution of dry eye disease among patients with type 2 diabetes in Kosovo

Published: 4 October 2024
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This study aimed to assess the prevalence and selected correlates of dry eye disease (DED) among patients with type 2 diabetes in Kosovo. A case-series study was conducted in Kosovo from July 2023 to July 2024, including a consecutive sample of 400 patients with type 2 diabetes aged ≥18 years seeking healthcare services at the Eye Clinic of the Clinical University Center of Kosovo in Prishtina (51% females; overall mean age: 62.4±9.7 years; response rate: 80%). Data collection consisted of a detailed clinical examination and a structured questionnaire. Almost 70% of the patients had DED (standalone or combined with retinopathy, which, in turn, had a separate prevalence of 3%). Significant positive correlates of autonomous and/or combined DED and retinopathy included older age, unhealthy dietary patterns, sedentary lifestyle, high blood pressure, and treatment of diabetes with insulin and pills. Our findings indicate a high prevalence of DED among type 2 diabetes patients in Kosovo. DED and retinopathy were strongly associated with a range of demographic factors, behavioral characteristics, and preexisting conditions pertinent to type 2 diabetes patients in this population.

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Citations

The definition and classification of dry eye disease: Report of the Definition and Classification Subcommittee of the International Dry Eye WorkShop. Ocul Surf 2007;5:75-92. DOI: https://doi.org/10.1016/S1542-0124(12)70081-2
Javadi MA, Feizi S. Dry eye syndrome. J Ophthalmic Vis Res 2011;6:192-8.
Zhang X, Zhao L, Deng S, et al. Dry eye syndrome in patients with diabetes mellitus: prevalence, etiology, and clinical characteristics. J Ophthalmol 2016;2016:8201053. DOI: https://doi.org/10.1155/2016/8201053
Olaniyan SI, Fasina O, Bekibele CO, Ogundipe AO. Relationship between dry eye and glycosylated haemoglobin among diabetics in Ibadan, Nigeria. Pan Afr Med J 2019;33:14. DOI: https://doi.org/10.11604/pamj.2019.33.14.14074
Bashorun SD, Balogun BG, Ibidapo O, Bashorun AO. Prevalence of dry eye disease in type 2 diabetic and non-diabetics: a cross-sectional hospital-based study. J West Afr Coll Surg 2024;14:180-7. DOI: https://doi.org/10.4103/jwas.jwas_100_23
Tanushree V, Madhusudhan CN, Hemalatha K, et al. Prevalence of dry eye in type 2 diabetes mellitus. Int J Sci Study 2014;2:119-23.
Zhang S, Hong J. Risk factors for dry eye in mainland China: a multi-center cross-sectional hospital-based study. Ophthalmic Epidemiol 2019;26:393-9. DOI: https://doi.org/10.1080/09286586.2019.1632905
Bunya V, Fuerst N, Langelier N, et al. Tear osmolarity and dry eye symptoms in diabetics. Clin Ophthalmol 2014;8:507-15. DOI: https://doi.org/10.2147/OPTH.S51514
Craig JP, Nelson JD, Azar DT, et al. TFOS DEWS II report executive summary. Ocul Surf 2017;15:802-12. DOI: https://doi.org/10.1016/j.jtos.2017.08.003
Olaniyan SI, Fasina O, Bekibele CO, Ogundipe AO. Dry eye disease in an adult population in South-West Nigeria. Cont Lens Anterior Eye 2016;39:359-64. DOI: https://doi.org/10.1016/j.clae.2016.06.008
Jerliu N, Ramadani N, Mone I, Brand H. Public health in Kosovo after five difficult years of independence. SEEJPH 2014;I. doi: https://doi.org/10.56801/seejph.vi.23. DOI: https://doi.org/10.56801/seejph.vi.23
Hoxha I, Apuk V, Kryeziu B, et al. Management of non-communicable diseases in Kosovo: a scoping review. Int J Environ Res Public Health 2023;20:3299. DOI: https://doi.org/10.3390/ijerph20043299
The World Bank. Policy note on Kosovo health financing; World Bank: Prishtina, Kosovo; 2019.
Bytyçi-Katanolli A, Obas KA, Ramadani Q, et al. Effectiveness of behavioural change interventions on physical activity, diet and body mass index of public primary healthcare users in Kosovo: the KOSCO cohort. BMJ Open 2023;13:e071100. DOI: https://doi.org/10.1136/bmjopen-2022-071100
Bytyci‑Katanolli A, Merten S, Kwiatkowski M, et al. Non‑communicable disease prevention in Kosovo: quantitative and qualitative assessment of uptake and barriers of an intervention for healthier lifestyles in primary healthcare. BMC Health Serv Res 2022;22:647. DOI: https://doi.org/10.1186/s12913-022-07969-5
Kundu G, Shetty R, D’Souza S, et al. A novel combination of corneal confocal microscopy, clinical features and artificial intelligence for evaluation of ocular surface pain. PLoS One 2022;17:e0277086. DOI: https://doi.org/10.1371/journal.pone.0277086
Wolffsohn JS, Arita R, Chalmers R, et al. TFOS DEWS II diagnostic methodology report. Ocul Surf 2017;15:539-74. DOI: https://doi.org/10.1016/j.jtos.2017.05.001
Miller KL, Walt JG, Mink DR, et al. Minimal clinically important difference for the ocular surface disease index. Arch Ophthalmol 2010;128:94-101. DOI: https://doi.org/10.1001/archophthalmol.2009.356
Zhang Y, Wang W, Chen J, Huang C. The diagnostic value of optical coherence tomography for detecting glaucoma in high myopia. J Glaucoma 2023;32:426-34. DOI: https://doi.org/10.1097/IJG.0000000000002198
Manaviat MR, Rashidi M, Afkhami-Ardekani M, Shoja MR. Prevalence of dry eye syndrome and diabetic retinopathy in type 2 diabetic patients. BMC Ophthalmol 2008;8:10. DOI: https://doi.org/10.1186/1471-2415-8-10
Akowuah PK, Kobia-Acquah E. Prevalence of dry eye disease in Africa: a systematic review and meta-analysis. Optom Vis Sci 2020;97:1089-98. DOI: https://doi.org/10.1097/OPX.0000000000001610
De Freitas GR, Ferraz GAM, Gehlen M, Skare TL. Dry eyes in patients with diabetes mellitus. Prim Care Diabetes 2021;15:184-6. DOI: https://doi.org/10.1016/j.pcd.2020.01.011
Ozdemir M, Buyukbese MA, Cetinkaya A, Ozdemir G. Risk factors for ocularsurface disorders in patients with diabetes mellitus, Diabetes Res Clin Pract 2003;59:195-9. DOI: https://doi.org/10.1016/S0168-8227(02)00244-9
Hom M, De Land P. Self-reported dry eyes and diabetic history. Optometry 2006;77:554-8. DOI: https://doi.org/10.1016/j.optm.2006.08.002
Zou X, Lu L, Xu Y, et al. Prevalence and clinical characteristics of dry eye disease in community-based type 2 diabetic patients: the Beixinjing eye study. BMC Ophthalmol 2018;18:117. DOI: https://doi.org/10.1186/s12886-018-0781-7
Aljarousha M, Badarudin NE, Che Azemin MZ. Comparison of dry eye parameters between diabetics and non-diabetics in district of Kuantan, Pahang. Malays J Med Sci 2016;23:72-7.
Shaikh R. Prevalence of dry eye disease in type 2 diabetic patients and its co-relation with the duration, glycemic control and retinopathy. Al Ameen J Med Sci 2015;8:225-9.
Onwubiko SN, Eze BI, Udeh NN, et al. Dry eye disease: prevalence, distribution and determinants in a hospital-based population. Cont Lens Anterior Eye 2014;37:157-61. DOI: https://doi.org/10.1016/j.clae.2013.09.009

How to Cite

Zekaj, D., Jerliu, N., Kukaj-Zekaj, F., & Tonuzi, A. (2024). Prevalence and distribution of dry eye disease among patients with type 2 diabetes in Kosovo. Italian Journal of Medicine, 18(3). https://doi.org/10.4081/itjm.2024.1799