Details
Category: Volume 05 Issue 11 November 2017
Hits: 1105

Title: Assessment of Prevalence of Diabetic Retinopathy in Western Madhya Pradesh

Authors: Sadhana Sewak, Yadvendra Singh Solanki, Chandrasheela Gupta

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.220

Abstract

Background and Aim: Diabetic Retinopathy is the dreadful micro vascular complication of diabetes which leads to blindness or loss of eye. It has become the major health problem worldwide. However, this morbidity is largely preventable and treatable. Despite new treating therapies and management strategies, there is no curb on the progression and development of this disease. This study was aimed to assess the prevalence of diabetic retinopathy among the diabetic patients visited in the Gomabai Eye Hospital in the Neemuch District, Madhya Pradesh.

Methodology: 446 selected patients were included. At the time of screening, informed consent was taken and age, gender and duration of diabetes was noted in designed questionnaire. Patients were evaluated for Diabetic retinopathy by Fundus examination. Findings were recorded and retinopathy was classified according to ETDRS Classification

Results: In the present study, prevalence of Diabetic retinopathy was found 28.4%. Out of 446 patients, 232 were males and 214 were females. 69.06 % patients were found affected with NPDR and 18.60 % with PDR. Significant association was found between age, duration and diabetic retinopathy.

Conclusion: Regular screening and awareness camps to detect diabetic retinopathy at early stage are necessary to understand the associated risk factors, so that proper management and treatment can be extended to the affected to prevent most of the diabetes related blindness.

Keywords: Micro vascular, Morbidity, Retinopathy, Diabetes

References

  1. Dandona, L Dandona, R., Naduvilath, T.J., McCarty, C.A. and Rao, G.N., 1999. Population based assessment of diabetic retinopathy in an urban population in southern India. British Journal of Ophthalmology, 83(8), pp.937-940.
  2. Narendran V., John, R.K., Raghuram, A., Ravindran, R.D., Nirmalan, P.K. and Thulasiraj, R.D., 2002. Diabetic retinopathy among self reported diabetics in southern India: a population based assessment.  British Journal of Ophthalmology, 86(9), pp.1014-1018.
  3. Rema, M., Deepa, R. and Mohan, V., 2000. Prevalence of retinopathy at diagnosis among type 2 diabeetic patients attending a diabetic centre in South India. British Journal of Opthalmology. 84(9), pp 1058-1060.
  4. Raman, R., Rani, P.K., Rachepalle, S.R., Gnanamoorthy, P., Uthra, S., Kumarama-nickavel, G. and Sharma, T., 2009. Prevalence of diabetic retinopathy in India: Sankara Nethralaya diabetic retinopathy epidemiology and molecular genetics study report 2. Ophthalmo-logy, 116(2), pp.311-318.
  5. Yau J, W. Rogers, S.L. Kawasaki R, Lamoureux, E L Kowalski, J W., Bek T., Chen S J., Dekker, J M Flecher A, Grauslund J and Haffner S,.2012. Global prevalence and major risk factors of diabetic retinopathy. Diabetes Care, 35(3), pp 554-556.
  6. Rema, M. and Pradeepa, R., 2007. Diabetic retinopathy: an Indian perspective. Indian journal of medical research, 125(3), p.297.
  7. Pradeepa, R., Anitha, B., Mohan, V., Ganesan, A. and Rema, M., 2008. Risk factors for diabetic retinopathy in a South Indian type 2 diabetic population—the Chennai Urban Rural Epidemiology Study (CURES) Eye Study 4. Diabetic Medicine, 25(5), pp.536-542.
  8. Agarwal, S., Raman, R., Paul, P.G., Rani, P.K., Uthra, S., Gayathree, R., McCarty, C., Kumaramanickavel, G. and Sharma, T., 2005. Sankara Nethralaya—Diabetic Retinopathy Epidemiology and Molecular Genetic Study (SN—DREAMS 1): Study Design and Research Methodology.  Ophthalmic epidemiology, 12(2), pp.143-153.
  9. Rani, P.K., Raman, R., Chandrakantan, A., Pal, S.S., Perumal, G.M. and Sharma, T., 2009. Risk factors for diabetic retinopathy in self-reported rural population with diabetes. Journal of postgraduate medicine, 55(2), p.92.
  10. Ramasamy, K., Raman, R. and Tandon, M., 2013. Current state of care for diabetic retinopathy in India. Current diabetes reports, 13(4), pp.460-468.
  11. Mohan, V., Sandeep, S., Deepa, R., Shah, B., & Varghese, C. (2007). Epidemiology of type 2 diabetes: Indian scenario. Indian Journal of medical Research, 125(3), 217.
  12. Ramachandran, A., & Snehalatha, C. (2009). Current scenario of diabetes in India. Journal of diabetes, 1(1), 18-28.
  13. Raman, R., Bhojwani, D. N., & Sharma, T. (2014). How accurate is the diagnosis of diabetic retinopathy on telescreening? The Indian scenario. Rural Remote Health, 14, 2809.
  14. Jindal, S., Gupta, S., Gupta, R., Kakkar, A., Singh, H. V., Gupta, K., & Singh, S. (2011). Platelet indices in diabetes mellitus: indicators of diabetic microva-scular complications. Hematology, 16(2), 86-89.
  15. Gupta, N., & Gupta, R. Diabetic Retinopathy–An Update.
  16. Singh P., Wadhwani, E., Gupta R., Agrawal R. C., Maheshwari S. K (2012). Prevalence of Diabetic Retinopathy in Diabetic Patients of Vindhya Region,2 (4), 1-3 available (online) at http://www.ijsrp.org/research_paper_apr2012/ijsrp-apr-2012-21.pdf last assessed on 24/6/17.
  17. Sachdev, N., & Sahni, A. (2010). Association of systemic risk factors with the severity of retinal hard exudates in a north Indian population.
  18. Sripriya, S., Raman, R., Soumittra, N., & Pandian, A. J. (2017). Current Research Perspectives in Understanding Diabetic Retinopathy. In Advances in Vision Research, Volume I (pp. 259-274). Springer Japan.

Corresponding Author

Sadhana Sewak

Assistant Professor, Department of Zoology,

SRJ Government Girls’ College, Neemuch (MP) INDIA

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.