FREQUENCY AND PATTERN OF RETINOPATHY IN NEWLY DIAGNOSED TYPE 2 DIABETIC PATIENTS AT TERTIARY CARE SETTINGS IN ABBOTTABAD
Abstract
Background: Retinopathy is one of the most frequent and serious complication of diabetes mellitusand leading cause of blindness worldwide. The objective of this study was to determine frequencyand pattern of retinopathy in newly diagnosed type 2 diabetic patients at tertiary care settings inAbbottabad. Methods: This was a descriptive cross-sectional comparative study being conducted atAyub Teaching Hospital and Northern Institute of Medical Sciences Abbottabad. It included 100newly diagnosed type 2 diabetic patients who were attending diabetic clinics of these tertiary carehospitals. Already diagnosed type 2 patients taking anti-diabetic medication, type 1 diabetes mellitus,hypertension, retinal vasculitis, retinal vessel occlusion, and sickle cell retinopathy were excluded.After pupillary dilatation, detailed fundoscopic examination was carried out via directophthalmoscopy and further confirmed by an ophthalmologist. According to fundoscopic findings,retinopathy was graded into background, pre-proliferative and proliferative types. Results: Total 100patients were included, with mean age 45.1±3.2 years, 60% of them were females. Overall, 17% oftype 2 diabetic patients had retinopathy within one month of diagnosis. Background retinopathy waspredominant (12%) followed by pre-proliferative (4%) and proliferative (1%) lesions. Conclusion:Frequency of retinopathy in newly diagnosed type 2 diabetic patients seems to be higher thanprevious reports and background lesions were predominant. Detailed fundoscopic examination of allnewly type 2 diabetic patients at the time of diagnosis is of paramount importance.Keywords: Frequency, type 2 diabetes mellitus, retinopathy, fundoscopic examinationReferences
Wild H, Roglic G, Green A, Sicree R, King H. Global
prevalence of diabetes: estimates for the year 2000 and
projection for 2030. Diabetes Care 2004;27:1047–53.
Zimmet P. The burden of type 2 diabetes: are we doing enough?
Diabetes Metab 2003;29(4 Pt 2):6S9–18.
Mainous AG, Baker R, Koopman RJ, Saxena S, Diaz VA,
Everett CJ. Impact of the population at risk of diabetes on
projection of diabetes burden in the United States: an epidemic
on the way. Diabetologia 2007;50:934–40.
Kalvoda B. Screening for diabetic retinopathy in Czechc
Republic- guidelines. Cesk Slov Oftalmol 2002;8:3–10.
Viswanath K, McGavin DD. Diabetic retinopathy: clinical findings
and management. Community Eye Health 2003;16:21–4.
Tapp RJ, Shaw JE, Harper CA, De Courten MP, DeCourten MP,
Balkau MP. Aus Diab Study Group: The prevalence of and
factors associated with diabetic retinopathy in Australian
population. Diabetes Care 2003;26:1731–7.
Aiello LP, Cahill MT, Wong JS. Systemic consideration in the
management of diabetic retinopathy. Am J Ophthalmol
;132:760–76.
Shera AS, Jawad F, Maqsood A. Prevalence of diabetes in
Pakistan. Diabetes Res Clin Pract 2007;76:219–22.
Wahab S, Mehmood N, Shaikh Z, Kazmi H. Frequency of
retinopathy in newly diagnosed type 2 diabetes patient. J Pak
Med Assoc 2008;58:557.
Iqbal T, Zafar J. Frequency of retinopathy in newly diagnosed
type 2 diabetes mellitus. Rawal Med J 2009;34(2):167–9.
Khan AJ. Prevalence of diabetic retinopathy in Pakistani
subjects. A pilot study. J Pak Med Assoc 1991;41:49–50.
Abdollahi A, Malekmadani MH, Mansoori MR, Bostak A,
Abbaszadeh MR, Mirshahi A. Prevalence of diabetic retinopathy
in patients with newly diagnosed type II diabetes mellitus. Acta
Medica Iranica 2006;44:415–9.
Agarwal S, Raman R, Kumari RP, Deshmukh H, Paul PG,
Gnanamoorthy P. Diabetic retinopathy in type II diabetics
detected by targeted screening versus newly diagnosed in general
practice. Ann Acad Med Singapore 2006;35:531–5.
Diabetes Prevention Program Research Group. The prevalence
of retinopathy in impaired glucose tolerance and recent-onset
diabetes in the Diabetes Prevention Program. Diabetic Med
;24:137–44.
Kohner EM, Aldington SJ, Stratton IM, Manley SE, Holman
RR, Mathews DR. United Kingdom Prospective Diabetes Study,
: diabetic retinopathy at diagnosis of non-insulin-dependent
diabetes mellitus and associated risk factors. Arch Ophthalmol
;116:297–303.
Hove MN, Kristensen JK, Lauritzen T, Bek T. The prevalence
ofretinopathy in an unselected population of type 2 diabetes
patients from Arthus County, Denmark. Acta Ophthalmol Scand
;82:443–8.
Rema M, Deepa R, Mohan V. Prevalence of retinopathy at
diagnosis among type 2 diabetic patients attending a diabetic
centre in South India. Br J Ophthalmol 2000;84:1058–60.
Klein R, Klein BE, Moss SE, Linton KL. The Beaver Dam Eye
Study. Retinopathy in adults with newly discovered and previously
diagnosed diabetes mellitus. Ophthalmology 1992;99:58–62.
Published
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.