在印度南部的一家三级眼科研究所首次就诊的糖尿病患者中，糖尿病视网膜病变的比例。

Proportion of diabetic retinopathy among diabetics presenting for the first time to a tertiary eye institute in South India.

机构信息

Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Thavalakuppam, Cuddalore Main Road, Pondicherry, 605007, India.

Future Vision Eye Care and Research Center, Mumbai, India.

出版信息

Int Ophthalmol. 2021 Aug;41(8):2789-2796. doi: 10.1007/s10792-021-01835-9. Epub 2021 Apr 3.

DOI:10.1007/s10792-021-01835-9

PMID:33813650

Abstract

PURPOSE

To detect the proportion of diabetic retinopathy (DR) among diabetics visiting a tertiary eye care institute and correlate presenting symptoms to clinical diagnosis.

METHODS

The study recruited 1000 eyes of 1000 diabetics visiting a tertiary eye care institute in South India for the first time. Along with basic demographic data and systemic history, details of presenting complaints and clinical diagnosis were noted.

RESULTS

Data from 956 cases were analyzed. There were 29 (3%) newly diagnosed diabetics and 927 (97%) known diabetics. The commonest reason for the hospital visit was diminution of vision (66%) followed by "visiting for a routine checkup" (22.3%). Diabetic retinopathy was seen in 492 (51.5%), cataract in 161(17%) and refractive error in 240 patients (79.2%). Vision-threatening DR was present in 216 cases (22.59%) and clinically significant macular edema in 73 cases (7.63%) at first presentation itself.

CONCLUSION

The cohort from a tertiary eye care institute has higher proportion of diabetic retinopathy, with vision-threatening DR at presentation. These data emphasize the need for more robust screening for DR, along with population awareness programs.

摘要

目的

检测在一家三级眼科医疗机构就诊的糖尿病患者中糖尿病视网膜病变（DR）的比例，并将其临床表现与临床诊断相关联。

方法

该研究招募了印度南部一家三级眼科医疗机构首次就诊的 1000 名糖尿病患者的 1000 只眼睛。除了基本的人口统计学数据和系统病史外，还记录了患者的临床表现和临床诊断的详细信息。

结果

分析了 956 例病例的数据。其中 29 例（3%）为新诊断的糖尿病患者，927 例（97%）为已知的糖尿病患者。就诊的最常见原因是视力下降（66%），其次是“常规检查”（22.3%）。492 例（51.5%）患者患有糖尿病视网膜病变，161 例（17%）患有白内障，240 例（79.2%）患有屈光不正。首次就诊时，有 216 例（22.59%）患者存在威胁视力的 DR，73 例（7.63%）患者存在临床显著的黄斑水肿。