评估马哈拉施特拉邦农村和部落地区糖尿病患者使用免散瞳眼底相机筛查糖尿病视网膜病变的患病率和筛查需求。
Assessment of prevalence and need for screening of diabetic retinopathy using non-mydriatic fundus camera in rural and tribal diabetic populations in Maharashtra.
机构信息
Department of Ophthalmology, MGIMS, Sewagram, Maharashtra, India.
出版信息
Indian J Ophthalmol. 2024 Jul 1;72(Suppl 4):S676-S678. doi: 10.4103/IJO.IJO_2570_23. Epub 2024 Apr 16.
PURPOSE
To assess the prevalence of DR and the need for screening and management of DR with medical management of diabetes in rural and tribal population in Maharashtra.
METHODS
The known diabetics of rural area and tribal area were screened at corresponding primary health centers, subcenters, and village level with the help of local healthcare workers using a portable non-mydriatic fundus camera. The prevalence of blindness among known diabetics in rural area was 1.29%, and 0.84% in tribal area.
RESULTS
In the rural area, the prevalence of diabetic retinopathy (DR) was 5.67% ( n = 776), out of those 18.18% had sight threatening diabetic retinopathy (STDR). The prevalence of DR was 7.73% ( n = 711) in tribal areas, out of those, 30.90% had STDR.
CONCLUSIONS
The significant risk factors were identified to be the duration of diabetes and poor glycemic control. Implementation of targeted interventions for screening and management are required to reduce the risk of blindness among known diabetics in rural and tribal areas.
目的
评估糖尿病视网膜病变（DR）的患病率，以及在马哈拉施特拉邦农村和部落人群中通过糖尿病的医学管理进行 DR 筛查和管理的需求。
方法
在农村和部落地区，利用便携式免散瞳眼底照相机，在相应的初级保健中心、分中心和村级由当地卫生保健工作者协助，对已知糖尿病患者进行筛查。农村地区已知糖尿病患者的失明患病率为 1.29%，部落地区为 0.84%。
结果
在农村地区，糖尿病视网膜病变（DR）的患病率为 5.67%（n=776），其中 18.18%有威胁视力的糖尿病视网膜病变（STDR）。在部落地区，DR 的患病率为 7.73%（n=711），其中 30.90%有 STDR。
结论
确定的主要危险因素为糖尿病病程和血糖控制不佳。需要实施有针对性的干预措施进行筛查和管理，以降低农村和部落地区已知糖尿病患者失明的风险。
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