Prevalence of diabetic retinopathy in type 2 diabetic patients at Tertiary Hospital, Bangalore, India.

  • Suresh Devatha M.D. PGD in Diabetes (DDG, Germany)
  • Preethi DNB Ophthalmology, Fellowship in medical Retina (Retina Institute of Karnataka)
Keywords: diabetic retinopathy, Diabetes mellitus, complications

Abstract

Diabetic retinopathy is a common microvascular complication seen in diabetic patients. The global prevalence is estimated to be 22.27 %.(1)

Objective:

The aim of this study was to assess the prevalence of diabetic retinopathy in type 2 diabetic patients visiting our institute – Karnataka institute of endocrinology and research.

Furthermore, we evaluated the severity of diabetic retinopathy and factors associated with diabetic retinopathy like gender and age group.

 

Methods: A total of 5,363 diabetic patients attending the vitreoretina OPD at our Institute from November 1st, 2022 to October 31st, 2023 were included in our study. Data was collected using a questionnaire and a detailed dilated examination was done by an ophthalmologist (vitreoretina specialist).

 

 

Result:

A total of 5,363 diabetic patients were included in the study.The prevalence of diabetic retinopathy was 30.84 % (95% CL: 29.66-32.12). Among 5,363 patients, 3705 patients had no diabetic retinopathy (69.15%), 812 had mild NPDR (15.14%), 438 had moderate NPDR (8.16%), 152 had severe NPDR (2.83%) and 252 patients had PDR (4.69 %). The prevalence of diabetic retinopathy was higher in males (34.82%) compared to females (25.01%). The odds ratio was 1.60. The prevalence of diabetic retinopathy was higher in age group above 45 years.

Conclusion: The prevalence of diabetic retinopathy in our study was 30.84%, higher than global figures. Screening of all diabetic patients regularly and good glycemic control should be an integral part of diabetic care management to reduce the burden of diabetic retinopathy.

 

Downloads

Download data is not yet available.

References

1. Zhen Ling Teo et. al, Global Prevalence of Diabetic Retinopathy and Projection of Burden through 2045, American academy of Ophthalmology Volume 128, Number 11, November 2021
2. Diabetes mellitus in India: The modern Scourge, SR Mehta, VSM, AS Kashyap, and S Das, Medical Journal of Armed Forces, 2009 Jan; 65(1): 50–54.
3. M Rema 1, M Ponnaiya, V Mohan Prevalence of retinopathy in non insulin dependent diabetes mellitus at a diabetes centre in Southern India Diabetes Research and clinical practice 34 (1996) Page: 29‑36
4. Dandona et al. Population based assessment of diabetic retinopathy in an urban population in southern India Br J Ophthalmol 1999, 83:937‑940
5. V Narendran et al. Diabetic retinopathy among self reported diabetics in southern India: a population based assessment, Br J Ophthalmol 2001;86: 1014‑1018
6. A retrospective evaluation of the trend of prevalence of type 2 diabetes mellitus in different age groups in a tertiary care hospital Bhavesh Patel1, Chintan Patel1, Dharmendra Panchal2, Snehal Patel1,* 1Dept. of General Medicine, GMERS Medical College, Valsad, Gujarat, India 2Dept. of Physician, DIACARE, Gujarat, India
7. Mei Li, 1,2 Yina Wang,2 Zifeng Liu,3 Xixiang Tang,1,2 et. al Females with Type 2 Diabetes Mellitus Are Prone to Diabetic Retinopathy: A Twelve-Province Cross-Sectional Study in China Journal of Diabetes Research Volume 2020, Article ID 5814296, 9 pages
8. Kajiwara A., Miyagawa H., Saruwatari J., et al. Gender differences in the incidence and progression of diabetic retinopathy among Japanese patients with type 2 diabetes mellitus: a clinic-based retrospective longitudinal study. Diabetes Research and Clinical Practice. 2014; 103 (3):e7–e10.
9. Pradeepa, R.; Anitha, B.; Mohan, V.; Ganesan, A.; Rema, M. Risk factors for diabetic retinopathy in a South Indian Type 2 diabetic population–the Chennai Urban Rural Epidemiology Study (CURES) Eye Study 4. Diabet Med. 2008, 25, 536–542.
10. Rani, P.K.; Raman, R.; Chandrakantan, A.; Pal, S.S.; Perumal, G.M.; Sharma, T. Risk factors for diabetic retinopathy in self-reported rural population with diabetes. J. Postgrad. Med. 2009, 55, 92–96.
11. Kashani, A.H.; Zimmer-Galler, I.E.; Shah, S.M.; Dustin, L.; Do, D.V.; Eliott, D.; Haller, J.A.; Nguyen, Q.D. Retinal thickness analysis by race, gender, and age using Stratus OCT. Am. J. Ophthalmol. 2010, 149, 496–502 e1.
12. Hammes, H.P.; Welp, R.; Kempe, H.P.; Wagner, C.; Siegel, E.; Holl, R.W. Risk Factors for Retinopathy and DME in Type 2 Diabetes-Results from the German/Austrian DPV Database. PLoS ONE 2015, 10, e0132492.
13. Sabina Shaikh, Tahira J Ursani, Khalid H Dhiloo et. al Prevalence of diabetic retinopathy and related factors in patients with type 2 diabetes mellitus in Hyderabad and adjoining areas. Journal of entomology and Zoology studies 2017, 5 : 1755 – 9
14. Sara Cherchi , Alfonso Gigante , Maria Anna Spanu et al Sex Gender Difference in diabetic retinopathy Diabetology 2020, 1, 1–10;
15. Prevalence of diabetic retinopathy in India stratified by known and undiagnosed diabetes, urban–rural locations, and socioeconomic indices: results from the SMART India population-based cross-sectional screening study Rajiv Raman, MS *,Joana C Vasconcelos, MSc ,*Ramachandran Rajalakshmi, PhD ,Prof A Toby Prevost, PhD ,Kim Ramasamy, MS ,Viswanathan Mohan, PHD et al
16. Prevalence of diabetic retinopathy in India: Results from the National Survey 2015-19 Praveen Vashist, Suraj S Senjam, Vivek Gupta, Souvik Manna, Noopur Gupta,B R Shamanna, 1 Amit Bhardwaj, Atul Kumar, and Promila Gupta
17. Diabetic retinopathy screening in the public sector in India: What is needed?
Vivek Gupta, Shorya Vardhan Azad, 1 Praveen Vashist, Suraj S Senjam, and Atul Kumar 1
18. Prevalence and risk factors for diabetic retinopathy in rural India. Sankara Nethralaya Diabetic Retinopathy Epidemiology and Molecular Genetic Study III (SN-DREAMS III), report no 2 Rajiv Raman 1, Suganeswari Ganesan 1, Swakshyar Saumya Pal 1, Vaitheeswaran Kulothungan 2, Tarun Sharma 1
19. Prevalence and Awareness of Diabetic Retinopathy in Diabetic Patients Visiting Tertiary Care Hospitals in Central India- May 2023; Shubhangi Setia and Praveen Tidake
20. Diabetic retinopathy among diabetic patients seen at tertiary care centre in Andaman and Nicobar Islands Shipra Gupta1Sutapa Das1Abhishek Onkar2Tushar Vashisht3
21. Gadkari SS, Maskati QB, Nayak BK. Prevalence of diabetic retinopathy in India: The All India Ophthalmological Society Diabetic Retinopathy Eye Screening Study 2014. Indian J Ophthalmol. 2016;64:38–44
22. Prevalence of vitreoretinal disorders in a rural population of southern India: the Aravind Comprehensive Eye Study Nirmalan PK 1et al
23. Prevalence and risk factors for diabetic retinopathy in India. Sankara Nethralaya Diabetic Retinopathy Epidemiology and Molecular Genetic Study III (SN-DREAMS III), -Rajiv Raman
How to Cite
1.
Devatha S, Preethi. Prevalence of diabetic retinopathy in type 2 diabetic patients at Tertiary Hospital, Bangalore, India. Int J Med Res Rev [Internet]. 2024Mar.28 [cited 2024Apr.29];12(1):29-5. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1462
Section
Original Article