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糖尿病视网膜病变与牙周病之间的关联。

The association between diabetic retinopathy and periodontal disease.

作者信息

Tandon Akash, Kamath Yogish S, Gopalkrishna Pratibha, Saokar Asmita, Prakash Sugandha, Sarpangala Shailaja B, Bhandary Sulatha V

机构信息

Department of Ophthalmology, Kasturba Medical College-Manipal; Manipal Academy of Higher Education, Manipal, Karnataka, India.

Department of Periodontics, Manipal College of Dental Sciences-Manipal; Manipal Academy of Higher Education, Manipal, Karnataka, India.

出版信息

Saudi J Ophthalmol. 2021 Feb 27;34(3):167-170. doi: 10.4103/1319-4534.310412. eCollection 2020 Jul-Sep.

Abstract

PURPOSE

The purpose of the study was to study the association between diabetic retinopathy (DR) and periodontal disease (PD) in a South Indian cohort.

METHODS

This was a cross-sectional, observational, interdisciplinary hospital-based study wherein patients with diabetes mellitus visiting the ophthalmology department of a university teaching hospital in coastal Karnataka, south India, during the study period, were screened independently for retinopathy by an ophthalmologist and PD by a periodontal surgeon. All the patients were above 18 years of age and did not have juvenile or gestational diabetes. A total of 213 patients consented to participate in the study. The data were analyzed for association using the Chi-square test.

RESULTS

There was a statistically significant association between the presence of DR and PD ( = 0.02). The increasing severity of DR was associated with an increase in the components of PD including plaque index ( < 0.001) and gingival index ( < 0.001).

CONCLUSION

There is a significant association between DR and PD. The awareness of this association can aid in the screening of potentially sight-threatening retinopathy in diabetics presenting to the dental clinic with PD.

摘要

目的

本研究旨在探讨印度南部一个队列中糖尿病视网膜病变(DR)与牙周病(PD)之间的关联。

方法

这是一项基于医院的横断面观察性跨学科研究。在研究期间,前往印度南部卡纳塔克邦沿海地区一所大学教学医院眼科就诊的糖尿病患者,由眼科医生独立筛查视网膜病变,由牙周外科医生独立筛查牙周病。所有患者年龄均在18岁以上,且无青少年或妊娠期糖尿病。共有213名患者同意参与本研究。使用卡方检验分析数据以确定关联性。

结果

DR的存在与PD之间存在统计学上的显著关联(P = 0.02)。DR严重程度的增加与PD的各项指标升高相关,包括菌斑指数(P < 0.001)和牙龈指数(P < 0.001)。

结论

DR与PD之间存在显著关联。认识到这种关联有助于在因PD前往牙科诊所就诊的糖尿病患者中筛查潜在的威胁视力的视网膜病变。

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本文引用的文献

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Association between Diabetic Retinopathy and Chronic Periodontitis-A Cross-Sectional Study.
Med Sci (Basel). 2018 Nov 23;6(4):104. doi: 10.3390/medsci6040104.
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