Ref Number = PITIKA-ASPR0059
Yesi Ermawati, Ike W Triastuti, Nur Rochmah, Muhammad Faizi, Rozalina Loebis, Lukisiari Agustini
OBJECTIVE: Children with type 1 diabetes mellitus (T1DM) are at risk for developing eye complications. Retinopathy is a common ocular complication observed. It associates with high rate of blindness. The purpose of this study is to evaluate eye complications in children with T1DM.
METHODS: Cross sectional study was done at pediatric endocrinology outpatient clinic, Dr. Soetomo Academic General Hospital, Surabaya during January to April 2019. Subjects were children with T1DM <18 years old. A1c examination was performed. Eye examinations were conducted by the same ophthalmologists during the study. Evaluation of myopia was performed using Snelen card whether diabetic retinopathy by using fundusphotography. Color blind evaluation was using Hardy Rand Rittle. 
RESULTS: Twenty children with T1DM were included in the study. Eleven patients were boys. Median age, length of illness, and  A1c were 11.4(6-18) years old; 4.17 years (0.38);10.1 g/dL (7.1-14.22) respectively. All children had normal fundus without experience of diabetic retinopathy. Myopia were found in 2/20 children and color blindness was found in 1/20 children. The median A1c in children without myopia was 9.9 (7.1-14.2) g/dL while in myopia children was 12 g/dL. The correlation of A1c and myopia was not significant (p=0.760), neither correlation of A1c and color blindness (p=0.815).
CONCLUSIONS: The presence of myopia, color blindness, and diabetic retinopathy were relatively rare in our study.
Keywords: T1DM, metabolic control, fundusphotography, Hardy Rand Rittler
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