Table 2.
Clinical manifestations of diabetes mellitus in ocular tissues.
| Disease stage | Ocular tissue | ||
|---|---|---|---|
| Cornea | Nerve | Retina | |
| Early/prediabetes | Ocular lens α-crystallin formation [60]; increased central corneal thickness [61] | Decreased corneal nerve fiber length [62] | Microaneurysms; exudate; tortuosity of vessels; edema |
| Midpoint | Reduced corneal subbasal nerve density; increased corneal sensitivity; corneal erosion syndrome [63] | Reduced subfoveal choroidal thickness [64]; reduced corneal nerve density [65] | Macula edema; hemorrhage; retinal detachment |
| Late-stage diabetes | Reduced tear meniscus parameters [66]; lower nerve fiber and branch length [67] | Optic neuropathy | Severe hemorrhage; retinal tearing/detachment; blindness |