Diabetic Maculopathy in Nonproliferative Diabetic Retinopathy in Tertiary Eye Care Hospital in India: A Prospective Nonrandomized Clinical Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Diabetes mellitus (DM) is a chronic metabolic disorder caused by an absolute or relative deficiency of insulin, an anabolic hormone. Insulin is produced in the pancreas by the beta cells of islets of Langerhans. Absence, destruction, or loss of these cells causes an absolute deficiency of insulin, leading to Type 1 diabetes (insulin-dependent DM). Materials and Methods: In this study, the pattern of presentation of diabetic maculopathy in nonproliferative diabetic retinopathy (NPDR) in diabetics reporting to tertiary eye care hospital during July 2009-November 2010 including the incidence of the different type of maculopathy in NPDR, relationship between serum cholesterol and hard exudates in diabetic maculopathy, effect of laser on visual acuity in treated and untreated patients, role of optical coherence tomography in diabetic maculopathy. This study was conducted by collecting details including age, sex, referring institute, duration of diabetes, blood sugar, and associated systemic complications such as nephropathy, neuropathy, hypertension, hyperlipidemia, and CAHD were noted. Vision in both eyes was tested using Snellen’s visual acuity chart. Results: This study revealed that diabetic maculopathy is the most common cause of visual loss in a patient with diabetic retinopathy and periodic follow-up and examination is necessary to detect the involvement of macula at an earlier stage. Conclusion: Early treatment with photocoagulation can stabilize the visual acuity and prevent further visual loss.
Authors and Affiliations
A M Raja, G Seema, Rajendra Prasad
Keywords
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