OCULAR FACTORS ASSOCIATED WITH RESISTANCE TO THE DEVELOPMENT OF DIABETIC RETINOPATHY IN TYPE 2 DIABETIC PATIENTS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 31
Abstract
BACKGROUND Though duration of diabetes mellitus (DM) and degree of hyperglycaemia have been consistently identified as predictors of diabetic retinopathy (DR), some patients suffering from same condition, do not develop such microvascular complication for a prolonged duration of the disease. The purpose of this study is to find-out the influencing role of different ocular factors creating resistance to the development of DR. METHODS 300 patients of type 2 DM of more than 20 years without having DR were recruited as cases in the study, whereas 300 patients of similar disease, duration and glycaemic status, having DR, were included as controls. Diagnosis and grading of DR, measurement of axial length and refractive condition, determination of cup-disc ratio and intraocular pressure and evaluation of chorioretinal scaring were performed following standard methods. RESULTS Among the cases, 60% were myopic, 26.67% suffered from primary open angle glaucoma, and 13.33% had chorioretinal scaring. CONCLUSIONS Resistance to the development of DR was seen in diabetic subjects who had myopia, glaucoma and chorioretinal scar.
Authors and Affiliations
Biswajit Sarkar, Ekta Kumari, Subrata Dalal, Gautam Bhaduri, Lakshmi Kanta Mondal
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