Abstract

Purpose: To evaluate the corneal sensitivity of black diabetic patients and identify factors associated with changes in corneal sensitivity.Methodology: We conducted a cross-sectional comparative case-control study at the National Obesity Center of the Yaounde Central Hospital and the Djoungolo District Hospital from March 1 to July 31, 2022. Corneal sensitivity was measured using the Cochet-Bonnet esthesiometer in all diabetic patients over 18 years of age, matched for age and sex to a clinically healthy control population. Data were analyzed using SPSS version 23.0 software. A p-value of less than 5% was considered significant.Results: A total of 111 diabetic and 111 non-diabetic patients participated in the study. The mean age was 53.46 ± 12.74 years for diabetics and 52.85 ± 11.77 years for non-diabetics (p = 0.901). The mean duration of diabetes was 6.4 ± 5.30 years. Corneal sensitivity in diabetics was lower (44.56 ± 9.59 mm) compared to non-diabetics (53.59 ± 6.30 mm) with a statistically significant difference (p = 0.000). Factors associated with decrease in corneal sensitivity in diabetics were duration of diabetes and poor glycemic control.Conclusion: Decrease in corneal sensitivity related to diabetes is a complication to be systematically screened for during the ophthalmologic follow-up of diabetic patients.

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