Title: Prevalence and detailed study of Diabetic Retinopathy in patients visiting Narayana medical college, Nellore
Authors: Dr Rajkumar Patra, Dr G Chandrasekhar, Dr Syed Mukkarrum
DOI: https://dx.doi.org/10.18535/jmscr/v5i9.75
Abstract
Objective: To study the prevalence of diabetic retinopathy among patients visiting regular OPD of Narayana medical college Nellore, AP.
Material and Method: This is a cross-sectional hospital based study. 500 patients with established diabetes who came to eye OPD of Narayana medical college, Nellore were evaluated for the presence or absence of retinopathy. Relevant clinical examination was done and the findings were recorded at one point of time. No follow-up findings of the patients were included in this study. Indirect Ophthalmoscope, Direct Ophthalmo-scope 90D Lens, slit lamp bio-microscope and Fundus Photography were used for examination. statistical analysis was done through Statistical package for Social Sciences (SPSS). p<0.05 was taken as significant.
Observations: Out of 500 patients 204(40.8%) were males and 296(59.2%) were females. Our study had 46(9.2%)
Patients were below 40 years of age, 305(61%) patients were between 40-60 years of age and 149(29.8%) were above 60 years of age.
88 patients (63.77%) with DR were above 60 years of age and 47 patients (34.06%) were between 40-60 years of age. 3 patients (2.17%) were below 40 years of age. Above findings say that DR is a age related condition. 30 patients(21.74%) with diabetes of less than 5years duration had DR. Prevalence of DR was 16.67% (23 patients) in patients with duration 5-9 years , 44.2% (61 patients) in patients with 10-14 years duration and 17.4% (24 patients) with duration of diabetes more than or equal to 15 years.
Patients who were managed with insulin, either alone or with oral hypoglycemic drugs, had more prevalence of DR.
Conclusion: Its concluded that Nellore district of andhrapradesh state has a high prevalence of Diabetic Retinopathy. It needs urgent and vigorous intervention in terms of treatment of Diabetic retinopathy and strict medical intervention to control diabetes. Its also concluded that number of years of uncontrolled diabetes and duration of diabetes is very important parameter to assess the progression of diabetic retinopathy.
Keyword: Diabetic Retinopathy, Mild to Moderate DR (NPDR), Proliferative DR (PDR), Diabetic Maculopathy.
