Diabetic Retinopathy and Its Risk Factors in a Population-Based Study

George, Masil; Harper, Richard A.; Balamurugan, Appathurai; Kilmer, Greta; Bynum, LaTonya

doi:10.1177/2150131910390818

Cited by 8 publications

(6 citation statements)

References 10 publications

(10 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Association with duration of diabetes is well known. 13,[15][16][17][18][19][20] In India, virtually all studies have shown an increased prevalence of DR as the duration of diabetes increased. 4,9,21 In the study conducted by Dandona et al in type 2 diabetes, it is reported that 87.5 per cent of those with >15 years duration of diabetes had DR compared with 18.9 per cent of those who had <15 years duration.…”

Section: 5mentioning

confidence: 99%

Prevalence of diabetic retinopathy in type 2 diabetes mellitus patients attending medicine out-patient department of a tertiary care hospital in Alappuzha, Kerala, India

Mani

Davy

2017

Int J Res Med Sci

View full text Add to dashboard Cite

Background: Diabetic retinopathy is a microvascular complication affecting the eyes of both Type 1 and Type 2 diabetes mellitus due to long-term hyperglycaemia. Diabetic retinopathy is the leading cause of blindness among working aged adults around the world. There are various factors leading to the development of diabetic retinopathy namely duration of diabetes, glycaemic control, age at onset of diabetes, uncontrolled hypertension. This is a hospital based cross-sectional study which aimed to study the prevalence of diabetic retinopathy in type 2 diabetes mellitus patients attending Medicine out-patient department of Government T. D. Medical College, Alappuzha, Kerala, India. The factors contributing to the development of retinopathy was also studied. Methods: 200 already diagnosed type 2 diabetic subjects were included in the study. Subjects were explained about the study and once the consent was received, data regarding age, gender, age at onset of diabetes, duration of diabetes, history of smoking, alcohol intake, and socio-economic status was documented. Height and weight was measured. Blood pressure was recorded with mercury sphygmomanometer. Then the subjects were evaluated for diabetic retinopathy by fundus examination after dilating the eyes. Findings were noted and subjects were categorized as no retinopathy, nonproliferative and proliferative diabetic retinopathy using the ETDRS classification. Results: In present study, out of 200 subjects, 63 subjects (31.5%) were affected with diabetic retinopathy (nonproliferative retinopathy=22.5%, proliferative retinopathy=9%). Prevalence of mild, moderate and severe nonproliferative retinopathy was 7.5% each. Significant association was found between diabetic retinopathy and duration of diabetes. Conclusions: Therefore, periodic screening of diabetic patients should be carried out for early detection and prevention of loss of vision.

show abstract

Section: 5mentioning

confidence: 99%

Prevalence of diabetic retinopathy in type 2 diabetes mellitus patients attending medicine out-patient department of a tertiary care hospital in Alappuzha, Kerala, India

Mani

Davy

2017

Int J Res Med Sci

View full text Add to dashboard Cite

show abstract

“…Many epidemiological studies on DR, either cross-sectional studies [9][10][11][12][13][14][15][16][17][18] or cohort studies, [19][20][21][22][23][24][25][26][27][28] have been conducted worldwide, exploring the risk factors that were associated with the disease and aiming at the prevention and management of this disease. Older female patients with a longer disease duration were known to be at greater risk for DR and DR progression.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, having Risk factors of diabetic retinopathy and sight-threatening diabetic retinopathy: a cross-sectional study of 13 473 patients with type 2 diabetes mellitus in mainland China Yan Liu,1 Jiarui Yang, 1 Liyuan Tao, 2 Huibin Lv, 1 Xiaodan Jiang, 1 Open Access renal complications of diabetes, poor glycaemic control, high lipid levels or hypertension have also already been reported to be risk factors of DR, with an impact on DR progression. [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] These factors have been evaluated using the Early Treatment of Diabetic Retinopathy Study classification. 27 Of these reported risk factors, the duration of diabetes, hyperglycaemia and hypertension were considered to be the most important risk factors for progression of vision loss.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of diabetic retinopathy and sight-threatening diabetic retinopathy: a cross-sectional study of 13 473 patients with type 2 diabetes mellitus in mainland China

et al. 2017

View full text Add to dashboard Cite

ObjectiveTo explore the risk factors of diabetic retinopathy (DR) and sight-threatening diabetic retinopathy (STDR) among Chinese patients with diabetes.Design, setting and participantsA cross-sectional investigation was performed in eight screening clinics in six provinces across mainland China. Information about the risk factors was recorded in screening clinics. Some risk factors (sex, age, diagnosis age, diabetes duration, systolic blood pressure (SBP), diastolic blood pressure, fasting blood glucose (FBG) and glycosylated haemoglobin (HbA1c)) were recorded in all eight clinics, while others were collected only in a subset of the clinics. The relationships between the risk factors and DR and between the risk factors and STDR were explored for the eight factors mentioned above and for all factors studied.Main outcomes and measuresRisk factors of DR and STDR were assessed, and a nomogram of the results was produced.ResultsYounger age, longer diabetes duration, higher SBP, higher FBG and higher HbA1c were found to be independent risk factors for both DR and STDR in the eight-factor analyses. In the all-factor analysis, younger age, longer diabetes duration, higher SBP, oral medicine use and insulin use were independent risk factors for both DR and STDR; higher postprandial blood glucose (PBG), HbA1c, triglyceride andlow-density lipoprotein were independent risk factors for DR only, and higher FBG was a risk factor for STDR only.ConclusionsIn this cross-sectional investigation, several risk factors were found for DR and STDR. Notably, FBG, PBG and HbA1c were all risk factors for DR or STDR, suggesting that stricter blood glucose control in clinical practice is required.

show abstract

“…Through analysis of three years of teleretina screening across Arkansas, the prevalence of DR in patients with diabetes was 16%. Our study adds to the literature demonstrating the efficacy of telemedicine screening programs in reaching underserved populations in rural or remote counties across the United States [7][8][9][10][11]. A 2011 population-based study by George et al estimated a statewide prevalence of DR at 22% [7].…”

Section: Discussionmentioning

confidence: 74%

Findings from a Statewide Teleretina Diabetic Retinopathy Screening Program in Arkansas

Shirey

Kwok

Jenkins

et al. 2023

International Journal of Telemedicine and Applications

View full text Add to dashboard Cite

Introduction. A significant proportion of diabetic patients in the United States do not present for annual dilated eye exams to monitor for signs of diabetic retinopathy (DR). The purpose of this study was to analyze the results of a statewide, multiclinic teleretina program designed to screen rural Arkansans for this sight-debilitating disease. Methods. Patients with diabetes seen at 10 primary care clinics across Arkansas were offered teleretinal-imaging services. Images were transmitted to the University of Arkansas for Medical Sciences’ (UAMS) Harvey and Bernice Jones Eye Institute (JEI) for grading and recommendations for further treatment. Results. From February 2019 to May 2022, 668 patients underwent imaging; 645 images were deemed of sufficient quality to generate an interpretation. 541 patients had no evidence of DR, while 104 patients had some evidence of DR. 587 patients had no evidence of maculopathy, while 58 patients had some evidence of maculopathy on imaging. 246 patients had other pathology evident on imaging, with the most common being hypertensive retinopathy, glaucoma suspects, and cataracts. Discussion. In a rural, primary care setting, the JEI teleretina program identifies DR and other nondiabetic ocular pathologies, allowing for an appropriate triage for eye care for patients in a predominantly rural state.

show abstract

Diabetic Retinopathy and Its Risk Factors in a Population-Based Study

Abstract: The prevalence of diabetic retinopathy and its risk factors are evident. Novel approaches to increase the screening and treatment of these frequent complications are key to optimize diabetes care.

Cited by 8 publications

References 10 publications

Prevalence of diabetic retinopathy in type 2 diabetes mellitus patients attending medicine out-patient department of a tertiary care hospital in Alappuzha, Kerala, India

Prevalence of diabetic retinopathy in type 2 diabetes mellitus patients attending medicine out-patient department of a tertiary care hospital in Alappuzha, Kerala, India

Risk factors of diabetic retinopathy and sight-threatening diabetic retinopathy: a cross-sectional study of 13 473 patients with type 2 diabetes mellitus in mainland China

Findings from a Statewide Teleretina Diabetic Retinopathy Screening Program in Arkansas

Contact Info

Product

Resources

About