Title: Systemic Co Morbidities, Visual Defect and Severity of Diabetic Retinopathy in Diabetics at Presentation
Authors: Jyothi V S, Padmasree K M, Ranjini Kotancheri
DOI: https://dx.doi.org/10.18535/jmscr/v6i9.152
Abstract
Aim: To assess systemic co morbidities, visual defect and severity of DR at presentation in diabetics in a tertiary care center.
Methods: A cross sectional study conducted for a period of 18 months in 130 newly detected Diabetic Retinopathy cases (DR) in a tertiary care center. They were evaluated with a proforma for risk factors and staging of retinopathy was done with International Clinical Diabetic Retinopathy Disease Severity Scale.
Results and Discussion: The duration of diabetes had significant association with stage of DR at presentation (p=0.048). Co morbidities like hypertension, dyslipidemia, CVA, CAD had no significant association with the sage of DR (P=0.001). Previous cataract surgery had no association with the stage of DR at presentation. Patients with co-existing diabetic nephropathy had more prevalence of DR and they had more severe presentation at the beginning (p=0.004).
Conclusion: The study found significant association between stage of diabetic retinopathy and age at diagnosis, mean duration of diabetes, co morbid nephropathy and low BMI in advanced cases. The study opened up a window to intensify the need for early diagnosis and management of DR cases, because it was found that there is progression of stage of DR, and deterioration of visual acuity as the time passed by.
Keywords: diabetic retinopathy, risk factor, clinical profile, visual outcome.
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