The Prevalence of Diabetic Retinopathy on Screening Patients with Diabetes Mellitus, admitted to a Tertiary Care Centre in Rural South India
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 12
Abstract
Background: Diabetic retinopathy is recognized as one of the ocular diseases with public health implications in India. The number of diabetic patients are rising rapidly; most of whom are not even aware of its complications. The risk of sight-threatening retinopathies is higher in diabetics. Screening of patients with diabetic retinopathy (damage to microvascular system of the retina due to prolonged hyperglycemia) is important in early detection and prevention of blindness. The relationship between duration of diabetes and severity of retinopathy can be assessed to figure out a remedy. Objectives: 1. To evolve a screening programme for early detection of diabetic retinopathy (DR) in patients with Diabetes Mellitus (DM) admitted to this tertiary care hospital. 2. To find out how factors such as glycemic control and duration of illness affect severity of diabetic retinopathy in these patients. Methodology: The study covered 70 diabetic patients from a rural tertiary care hospital. Demographic data, diabetic history and investigations were recorded in the case study form. The student investigator, who has earlier been trained in the skills lab and has practiced observing the fundus under supervision of ophthalmologists will perform a fundoscopic examination on the patient. They will then classify the patients into five groups. The data were collected and analyzed using chi-square test. Results: The prevalence of DR (35.7%) was found to be higher in males. Risk of developing it was more in uncontrolled diabetics. 24.3% among those with retinopathy had mild non-proliferative retinopathy. Conclusion: The study revealed that the risk of developing retinopathy was higher in male patients with uncontrolled diabetes. In this screening programme we were able to diagnose retinopathy in 25 of the 70 diabetic patients enrolled (35.7%). We hope this screening programme will continue for early detection of retinopathy
Authors and Affiliations
Harishankar S
Correlation of Bilirubin Levels in Patients with and Without Cerebrovascular Accident
Stroke is a clinical syndrome of rapid onset of focal cerebral deficit, lasting more than 24 hours or leading to death, with no apparent cause other than a vascular. Bilirubin, a breakdown product of normal heme cataboli...
Oral Care in Intubated Patients Weather or not on Mechanical Ventilation: A Systemic Review
Oral care is an important part of nursing management in intubated patients as it affects both wellness and clinical outcomes of intensive care patients. Many of the intubated patients develop nosocomial pneumonia (ventil...
Comparative Study of Bone Marrow Aspirate and Bone Marrow Trephine Biopsy Findings in Lymphomas
Background and Objective: Bone marrow biopsy is an integral part of staging work-up and prognostication for Hodgkin and non-Hodgkin lymphoma (NHL).Objective of this study is to study and compare the diagnostic findings o...
Case Report and Surgical Technique: Closure with a Filleted Hallux Flap after Transphalengeal Amputation of the Big Toe for Osteomyelitis in the Diabetic Foot
Wound closure for the tissue defect caused by amputation of digit, for a diabetic foot is challenging. We describe a surgical technique and a case report of filleted hallux flap in the management of post amputation defec...
Impact of Yoga Therapy on Anxiety and Depression
The present study was undertaken to provide evidence for the positive effect of yoga therapy on anxiety & depression on geriatric patients. A sample group of 10 geriatrics referred as outpatient from different depts such...