Risk factors and incidence of diabetic retinopathy

Mendanha, Denise Borges de Andrade; Abrahao, Mayara Martins; Vilar, Mateus Martins Cortez; Nassaralla, João Jorge

doi:10.5935/0034-7280.20160089

Cited by 7 publications

(7 citation statements)

References 12 publications

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“…In our study we found that patients with poor glycemic control (HbA1c >7%) had more severe diabetic retinopathy than patients with good glycemic control (HbA1c <7%). This coincides with the findings of CURES Eye Study (2008), 12 DCCT (The Diabetes Control and Complications Trial) (1993), 14 UKPDS (United Kingdom Prospective Diabetes Study) (1998), 15 and Ramachandran Rajalakshmi et al (2016). 16 On comparing patients with hypertension or without hypertension, we found that there was a statistically significant difference between the severities of diabetic retinopathy.…”

Section: Discussionsupporting

confidence: 86%

“…Duration of DM was a significant risk factor in our study. CURES (Chennai Urban Rural Epidemiology Eye Study) (2008) 12 and Irini P Chatziralli et al (2010) 13 found similar results in their study. In our study we found that patients with poor glycemic control (HbA1c >7%) had more severe diabetic retinopathy than patients with good glycemic control (HbA1c <7%).…”

Section: Discussionsupporting

confidence: 66%

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Risk factors associated with diabetic retinopathy among patients with type 2 diabetes mellitus in central India

Bano¹,

Som²,

Dubey³

et al. 2019

IJCEO

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Aim: To assess the clinical profile and association of various risk factors with severity of diabetic retinopathy (DR) in patients with type 2 diabetes mellitus (DM). Materials and Methods: A prospective observational study included 56 patients (112 eyes) of type 2 DM with DR. All cases underwent ophthalmic examination and severity of diabetic retinopathy was graded according to the modified ETDRS classification. Risk factors like age, gender, duration of DM, hypertension, HbA1C levels, haemoglobin level and serum lipid profile were studied for any association with severity of DR. Data were analyzed using standard statistical technique and a probability value ('p' value) of < 0.05 was considered as statistically significant. Results:The mean age of study group was 52.90±10.60 years. M: F ratio was 2.3:1. 17.86% were in Non -PDR, 28.60% in PDR and 53.60% were in advanced diabetic retinopathy. Severity of diabetic retinopathy was significantly associated with more duration of DM, high HbA1c level, Hypertension, anemia, dyslipidemia, positive family history of DM and low socioeconomic status. Conclusion:Controlling modifiable risk factors like hypertension, dyslipidemia, high HbA1c level and anaemia are helpful in preventing the development and reducing the severity of diabetic retinopathy.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 66%

Risk factors associated with diabetic retinopathy among patients with type 2 diabetes mellitus in central India

Bano¹,

Som²,

Dubey³

et al. 2019

IJCEO

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“…Younger age [9,12], together with longer diabetes duration, triglyceride and low density lipoprotein and glycosylated haemoglobin have been associated with diabetic retinopathy [13,14]. Other risk factors are type 1 diabetes for over a decade [15], nephropathy [16], sedentary lifestyle [17], systemic arterial hypertension [18], obesity, pregnancy, cataract surgery, genetics and puberty [19]. This makes timely and regular screening for diabetic retinopathy very important in the management of diabetic patients.…”

Section: A Demographic Characteristicsmentioning

confidence: 99%

Uptake of Screening for Diabetic Retinopathy and Associated Factors among Adults with Diabetes Mellitus Aged 18-65 Years: A Descriptive Cross Sectional Study

Mukona

Dzingira

Mhlanga

et al. 2020

EJMED

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The prevalence of diabetes in Zimbabwe has increased significantly in the past three decades posing serious challenges to the provision of care and prevention of disabling co-morbidities in an already disadvantaged healthcare setting. Studies conducted in Zimbabwe have reported prevalence of 16% to 38%. Diabetic retinopathy, a major complication of diabetes, is a leading cause of blindness globally and of an estimated 285 million people with diabetes worldwide approximately 33.3% have signs of diabetic retinopathy and of these a further 33.3% have vision threatening diabetic retinopathy. The purpose of this study is to examine uptake of screening for diabetic retinopathy and associated factors among adults aged 18-65 years with diabetes at Parirenyatwa Group of Hospitals. This was a cross sectional analytical study on a random sample of 83 adults aged 18-65 years with diabetes mellitus. The study was conducted according to the requirements of the Declaration of Helsinki. A structured questionnaire was used to collect data in strict privacy and confidentiality. Uptake of screening was 53%. The chi-square test was done to analyse demographic factors associated with uptake of screening. Male gender and being married were significantly associated with higher uptake of screening (p=0.029 and p=0.037 respectively). Logistic regression was done to determine predictors of uptake of screening services for diabetic retinopathy. On logistic regression, gender (OR=0.241, 95% CI [0.079 – 0.735]) and misinformation (OR=0.280, 95% CI [0.081 – 0.974]) were significant predictors of uptake of screening. Uptake of diabetic retinopathy screening was sub-optimal. Gender and misinformation were significant barriers to uptake of screening. There is need to address barriers to uptake of retinopathy screening to promote timely identification and management of complications in people with diabetes mellitus.

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“…A magnitude desse desafio é acentuada pela complexidade multifatorial da doença, demandando uma intervenção abrangente que transcenda os limites da prática clínica convencional. No cenário brasileiro, caracterizado por disparidades socioeconômicas e desafios estruturais no sistema de saúde pública, a implementação de estratégias integradas surge como uma resposta imperativa para otimizar a eficiência dos cuidados oftalmológicos destinados aos pacientes diabéticos (Mendanha et al, 2016).…”

Section: Introductionunclassified

Implementação de estratégias integradas no tratamento da retinopatia diabética: uma avaliação do contexto da saúde pública no Brasil

Bif,

De Almeida,

Saraiva

et al. 2024

CLCS

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A retinopatia diabética (RD), uma complicação ocular progressiva associada ao diabetes mellitus, representa uma significativa ameaça à saúde global, manifestando-se como uma das principais causas de cegueira evitável. No âmbito brasileiro, onde a prevalência do diabetes tem experimentado um aumento substancial, a gestão eficaz da RD torna-se uma prioridade incontestável, exigindo uma abordagem integrada e contextualizada no sistema de saúde pública. Neste contexto, este artigo visa aprofundar-se na análise crítica da implementação de estratégias integradas no tratamento da RD no Brasil. Este estudo adota uma abordagem de revisão integrativa da literatura, coletando dados em 2024 pela Biblioteca Virtual em Saúde (BVS) e consultando bases como LILACS, PUBMED e SciELO. Os critérios de inclusão abrangem publicações de 2010 a 2022 nos idiomas inglês, português e espanhol. O atual panorama do tratamento da diabetes e da retinopatia diabética (RD) na saúde pública brasileira envolve uma abordagem multifatorial que abrange medicamentos e, em alguns casos, intervenções cirúrgicas. A gestão farmacológica da diabetes geralmente se concentra em agentes hipoglicemiantes orais e insulina, visando manter os níveis de glicose no sangue sob controle. Contudo, apesar dos avanços, a adesão consistente a essas terapias muitas vezes se depara com obstáculos, como a disponibilidade irregular de medicamentos e questões socioeconômicas. Intervenções cirúrgicas, como a vitrectomia, podem ser consideradas em estágios avançados da RD, buscando restaurar ou melhorar a visão comprometida. Entretanto, a disponibilidade desses procedimentos e a capacidade de atender à demanda representam desafios adicionais. Em conclusão, a gestão da retinopatia diabética (RD) no contexto da saúde pública brasileira revela-se como um desafio complexo, marcado por limitações estruturais, socioeconômicas e de acesso a tratamentos. A abordagem atual, fundamentada em terapias farmacológicas e, em alguns casos, intervenções cirúrgicas, enfrenta obstáculos significativos, como a irregularidade na disponibilidade de medicamentos e a complexidade na realização de procedimentos cirúrgicos.

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Risk factors and incidence of diabetic retinopathy

Abstract: Objective:The present study aims to evaluate the incidence, and risk factors of diabetic retinopathy( disease duration and the presence of hypertension).Study carried out at Instituto

Cited by 7 publications

References 12 publications

Risk factors associated with diabetic retinopathy among patients with type 2 diabetes mellitus in central India

Risk factors associated with diabetic retinopathy among patients with type 2 diabetes mellitus in central India

Uptake of Screening for Diabetic Retinopathy and Associated Factors among Adults with Diabetes Mellitus Aged 18-65 Years: A Descriptive Cross Sectional Study

Implementação de estratégias integradas no tratamento da retinopatia diabética: uma avaliação do contexto da saúde pública no Brasil

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