Ngah Nor Fariza, Muhamad Nor Asiah, Asnir Zalifa Zakiah, Abdul Aziz Roslin Azni, Mhad Kassim Zaidah, Sahar Siti Aishah, Ahmad Tarmidzi Nor Azita, Chan Li Yen, Uthman Rosmawati, Satar Narjis, Husain Noor Zahirah, Adnan Azian, Kayalakakathu John Mathen, Kadas Bariyah, Mohamad Noor Suriani, Kassim Shaiful Azlan
Department of Ophthalmology, Shah Alam Hospital, Selangor 40000, Malaysia.
Sector for Evidence Based Healthcare, National Institutes of Health, Ministry of Health, Selangor 40170, Malaysia.
Int J Ophthalmol. 2020 Nov 18;13(11):1808-1813. doi: 10.18240/ijo.2020.11.19. eCollection 2020.
To determine the prevalence of diabetic retinopathy (DR) among diabetic patients at the primary health clinics in Selangor, Malaysia.
All diabetic patients were screened in Retinal Disease Awareness Programme (RDAP) and those who had significant DR changes were referred to the hospital for further management. Descriptive analyses were done to determine the prevalence of DR and sociodemographic characteristics among patients with diabetic. Univariate and multivariable analysis using Logistic regression were performed to find association and predictor factors in this screening.
A total of 3305 patients aged 40y and above were screened for DR. Of the patients screened, 9% patients were found to have DR and other visual complication such as maculopathy (0.9%), cataract (4.8%) and glaucoma (0.4%). The mean age of patients without retinopathy was 57.82±8.470y and the mean age of patients with DR was 63.93±9.857y. About 61.5% of the patients screened were aged below 60y and 38.5% were aged 60y and above. Majority of the patients screened were women 58.5% and Malay in the age group of 50-59y, while 27% were aged 60-69y. Significant association were found between age, sex, race, visual loss and DR.
Although the prevalence of DR among patients is not alarming, effective interventions need to be implemented soon to avert a large burden of visual loss from DR.
确定马来西亚雪兰莪州初级保健诊所糖尿病患者中糖尿病视网膜病变（DR）的患病率。
所有糖尿病患者均在视网膜疾病认知项目（RDAP）中接受筛查，那些有显著DR变化的患者被转诊至医院进行进一步治疗。进行描述性分析以确定糖尿病患者中DR的患病率和社会人口学特征。使用逻辑回归进行单变量和多变量分析，以找出该筛查中的关联因素和预测因素。
总共对3305名40岁及以上的患者进行了DR筛查。在筛查的患者中，9%的患者被发现患有DR以及其他视觉并发症，如黄斑病变（0.9%）、白内障（4.8%）和青光眼（0.4%）。无视网膜病变患者的平均年龄为57.82±8.470岁，患有DR的患者平均年龄为63.93±9.857岁。筛查的患者中约61.5%年龄在60岁以下，38.5%年龄在60岁及以上。筛查的患者大多数为女性（58.5%），年龄在50 - 59岁的马来人占多数，而27%的患者年龄在60 - 69岁。在年龄、性别、种族、视力丧失和DR之间发现了显著关联。
尽管患者中DR的患病率并不惊人，但需要尽快实施有效的干预措施，以避免DR导致的大量视力丧失负担。
