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在一家三级护理中心的眼科门诊就诊的 2 型糖尿病患者中的失明情况:一项描述性横断面研究。

Blindness among Patients with Type II Diabetes Mellitus Presenting to the Outpatient Department of Ophthalmology of a Tertiary Care Centre: A Descriptive Cross-sectional Study.

机构信息

Department of Ophthalmology, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.

Department of Optometry, Nepal Eye Hospital, Tripureshwor, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Oct 1;60(254):877-880. doi: 10.31729/jnma.7702.

Abstract

INTRODUCTION

Diabetic retinopathy is a major microvascular complication of diabetes, and may progress to sight-threatening stages causing blindness with a consequent decrease in their quality of life. This study aimed to find out the prevalence of blindness among patients with type II diabetes mellitus attending the Outpatient Department of Ophthalmology of a tertiary care hospital.

METHODS

A descriptive cross-sectional study was conducted among patients with type II diabetes mellitus presenting to the Outpatient Department of Ophthalmology of a tertiary care centre from 2 August 2021 to 30 June 2022 after receiving ethical approval from the Institutional Review Committee (Reference number: 74/2021). Diabetic patients underwent detailed eye examination including vision, slit lamp biomicroscopy examination, and fundus evaluation with full pupil dilation. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.

RESULTS

Among 449 type II diabetic patients, blindness was seen in 17 (3.79%) (2.02-5.56, 95% Confidence Interval) patients. Among them, 1 (5.88%) had severe non-proliferative diabetic retinopathy, 3 (17.65%) had proliferative diabetic retinopathy and 8 (47.06%) had severe diabetic macular oedema.

CONCLUSIONS

The prevalence of blindness among patients with type II diabetes mellitus was less than in other studies conducted in similar settings. Screening and timely management of diabetic retinopathy could reduce the prevalence of blindness due to diabetic retinopathy.

KEYWORDS

blindness; diabetic retinopathy; prevalence.

摘要

简介

糖尿病视网膜病变是糖尿病的一种主要微血管并发症,可能进展至威胁视力的阶段,导致失明,从而降低生活质量。本研究旨在了解在一家三级保健医院的眼科门诊就诊的 2 型糖尿病患者中失明的患病率。

方法

在获得机构审查委员会的伦理批准(参考编号:74/2021)后,于 2021 年 8 月 2 日至 2022 年 6 月 30 日期间,对在一家三级保健中心的眼科门诊就诊的 2 型糖尿病患者进行了一项描述性横断面研究。对糖尿病患者进行了详细的眼部检查,包括视力、裂隙灯生物显微镜检查和充分散瞳后的眼底评估。使用便利抽样法。计算了点估计值和 95%置信区间。

结果

在 449 名 2 型糖尿病患者中,有 17 名(3.79%)(2.02-5.56,95%置信区间)患者出现失明。其中,1 名(5.88%)患者有严重的非增殖性糖尿病视网膜病变,3 名(17.65%)患者有增殖性糖尿病视网膜病变,8 名(47.06%)患者有严重的糖尿病性黄斑水肿。

结论

在 2 型糖尿病患者中,失明的患病率低于在类似环境中进行的其他研究。对糖尿病视网膜病变进行筛查和及时管理可以降低因糖尿病视网膜病变导致的失明的患病率。

关键词

失明;糖尿病视网膜病变;患病率。

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