Ocular knowledge and practice among type 2 diabetic patients in a tertiary care hospital in Bangladesh

Abstract

Background and aimsDiabetes mellitus is likely to have a major effect on vision, and adequate knowledge of its ocular manifestations is of substantial importance to diabetic patients. The study aimed to assess the ocular knowledge and practices among Type 2 diabetic patients of Bangladesh.MethodsThis cross-sectional study included 122 diabetic patients from the outpatient department (OPD) of the apex diabetic healthcare hospital of the country under the sponsorship of the Diabetic Association of Bangladesh (BIRDEM). A questionnaire was used for collecting data on knowledge on and practices relating to diabetes mellitus with particular emphasis on ocular issues. A predefined score was used for categorizing levels of knowledge and practices as poor, average, and good.ResultsOf the 122 respondents, 63%, 55%, 40%, 44%, and 30% reported, blindness, retinopathy, cataracts, glaucoma, and double vision respectively, as complications of diabetes mellitus. About 50% were aware of the need for eye screening for people with the complications. Only 8% monitored their blood glucose levels daily, 15% monitored weekly, and 10% reported checking their blood pressure daily and 43% took their medications as prescribed. The level of diabetic knowledge was poor, moderate and good, respectively, among 24%, 56%, and 20% of the respondents, whereas the practice standards showed that 47%, 31%, and 22% had poor, average, and good levels respectively. The knowledge score was significantly associated with the practice score (r = 0.460, p = 0.001).ConclusionThe results indicate that the ocular knowledge and practices among diabetic patients attending a tertiary-care hospital in Bangladesh is average. Health and eye-care practitioners need to expand diabetic health education and promotion among diabetic patients.

Knowledge About Diabetic Retinopathy, Eye Check-Up Practice And Associated Factors Among Adult Patients With Diabetes Mellitus Attending At Debark Hospital, Northwest Ethiopia

“…This study also showed that 39.6% [34.3-45.7%] of participants had good eye checkup practice regarding diabetic retinopathy and 60.4% of participants had poor eye checkup practice regarding DR. This finding is in line with the study done in South Africa (25)and Bangladesh (17)where the practice of eye examination was reported as 37% in both studies. On the other hand, the result from the present study is lower than the result obtained from Australia (27) The reasons for not getting eye examination were lack of visual symptoms in 56.7% participants and followed by 32.1% who felt they needed to be referred by their physician before getting their eyes examined.…”

“…The odds of good eye checkup practice among participants who had good knowledge of DR was 17 times (AOR=17.5, CI: 5.97-51.3) more as compared to those who had poor knowledge. (Table 6) However, the result in this study is lower than the studies conducted in Bangladesh (17) and Saudi Arabia(22) which were 76% and 64% respectively. This difference might be due to lack of organized diabetic education facilities, less participation of media and non-governmental organizations in awareness creation about diabetic retinopathy in present study setting.…”

Adjuvant Therapy With Mushroom Polysaccharides for Diabetic Complications

“…Eye diseases caused by diabetes include DR, cataract and macular degeneration (Geloneck et al, 2015). The longer the duration of diabetes, the more complications occur, and the higher the risk of visual impairment or even blindness (Ahmed et al, 2017).…”

Knowledge About Diabetic Retinopathy, Eye Check-Up Practice And Associated Factors Among Adult Patients With Diabetes Mellitus Attending At Debark Hospital, Northwest Ethiopia

“…Knowledge: Respondents who scored greater than or equal to the mean (≥5.55) of knowledge questions were considered to have good knowledge and those who scored below the mean were considered as having poor knowledge (5,17).…”