scholarly journals Registration of visual impairment due to diabetic retinopathy in a subpopulation of Cambridgeshire

2008 ◽  
pp. 75
Author(s):  
Patel Gordon-Bennett

Author(s):  
Ogugua N. Okonkwo

Diabetic retinopathy (DR) in its advanced stage is a leading cause of blindness and visual impairment. Despite efforts at early detection of DR, disease monitoring, and medical therapy, significant proportions of people living with diabetes still progress to develop the advanced proliferative disease, which is characterized by neovascularization, actively proliferating fibrovascular membranes, and retinal traction. The surgical removal of this proliferating tissue and the treatment of the retinal ischemic drive can be very rewarding, providing significant stability of the retina and in several cases improved retinal anatomy and vision. Diabetic vitrectomy comprises a broad range of surgical techniques and maneuvers, which offer the surgeon and patient opportunity to reverse deranged vitreoretinal anatomy and improve or stabilizes vision. Advances in vitreoretinal technology have contributed greatly to more recent improved outcomes; it is expected that future advances will offer even more benefit.



Author(s):  
Jacqueline Chua ◽  
Ching-Yu Cheng ◽  
Tien Yin Wong

General physicians have an essential role in preventing vision loss in older people. However, most vision-threatening eye disorders are initially asymptomatic and often go underdiagnosed. Therefore screening, early detection, and timely intervention are important in their management. The most common cause of visual impairment is uncorrected or undercorrected refractive error, followed by cataract, age-related macular degeneration, glaucoma, and diabetic retinopathy. Spectacles and cataract surgery can successfully restore sight for uncorrected refractive error and cataract, respectively. Visual impairment as a result of age-related macular degeneration, glaucoma, and diabetic retinopathy can be prevented with appropriate treatment if they are identified early enough. This chapter provides an overview of common age-related eye disease and visual impairment.



2020 ◽  
pp. bjophthalmol-2020-316430
Author(s):  
Jin Rong Low ◽  
Alfred Tau Liang Gan ◽  
Eva K Fenwick ◽  
Preeti Gupta ◽  
Tien Y Wong ◽  
...  

BackgroundTo investigate the longitudinal associations between person-level and area-level socioeconomic status (PLSES and ALSES, respectively) with diabetic retinopathy (DR) and visual impairment (VI) in Asians with diabetes mellitus (DM).MethodsIn this population-based cohort study, we included 468 (39.4%) Malays and 721 (60.6%) Indians with DM, with a mean age (SD) of 58.9 (9.1) years; 50.6% were female and the mean follow-up duration was 6.2 (0.9) years. Individual PLSES parameters (education, monthly income and housing type) were quantified using questionnaires. ALSES was assessed using the Socioeconomic Disadvantage Index derived from Singapore’s 2010 areal census (higher scores indicate greater disadvantage). Incident DR and VI were defined as absent at baseline but present at follow-up, while DR and VI progression were defined as a ≥1 step increase in severity category at follow-up. Modified Poisson regression analysis was used to determine the associations of PLSES and ALSES with incidence and progression of DR and VI, adjusting for relevant confounders.ResultsIn multivariable models, per SD increase in ALSES score was associated with greater DR incidence (risk ratio (95% CI) 1.27 (1.13 to 1.44)), DR progression (1.10 (1.00 to 1.20)) and VI incidence (1.10 (1.04 to 1.16)), while lower PLSES variables were associated with increased DR (low income: 1.68 (1.21 to 2.34)) and VI (low income: 1.44 (1.13 to 1.83); ≤4 room housing: 2.00 (1.57 to 2.54)) incidence.ConclusionsWe found that both PLSES and ALSES variables were independently associated with DR incidence, progression and associated vision loss in Asians. Novel intervention strategies targeted at low socioeconomic status communities to decrease rates of DR and VI are warranted.



2003 ◽  
Vol 31 (5) ◽  
pp. 397-402 ◽  
Author(s):  
Daniel J McCarty ◽  
Cara L Fu ◽  
C Alex Harper ◽  
Hugh R Taylor ◽  
Catherine A McCarty


2015 ◽  
Vol 69 (Suppl 1) ◽  
pp. A20.1-A20
Author(s):  
ML Tracey ◽  
SM McHugh ◽  
AP Fitzgerald ◽  
CM Buckley ◽  
RJ Canavan ◽  
...  


2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Atul Jain ◽  
Neeta Varshney ◽  
Colin Smith

Diabetic retinopathy (DR) is the leading cause of vision loss in working-age adults, and diabetic macular edema (DME) is the most common cause of visual impairment in individuals with DR. This review focuses on the pathophysiology, previous treatment paradigms, and emerging treatment options in the management of DME.



2013 ◽  
Vol 41 (6) ◽  
pp. 608-609 ◽  
Author(s):  
Qi S You ◽  
Liang Xu ◽  
Ya X Wang ◽  
Qing F Liang ◽  
Tong T Cui ◽  
...  


2019 ◽  
Vol 13 (2) ◽  
pp. 87-99
Author(s):  
Melan Nurhayati ◽  
Irma Nur Amalia ◽  
Hafsa .

Diabetic retinopathy (RD) is a specific microvascular complication of Diabetes Mellitus (DM) that causes visual impairement. Visual impairment that occurs in DR patients can affect the quality of life related to eye health. The latest data about DR patients from National Eye Center (NEC) Cicendo Eye Hospital Bandung was 2035 patients with Severe Non-proliferative Diabetic Retinopathy (Severe NPDR) and Proliferative Diabetic Retinopathy (PDR) are the most happened. The purpose of this study was to determine quality of life differences in patients with severe NPDR and PDR at the Vitreoretina Polyclinic Outpatient Departement NEC Cicendo Eye Hospital Bandung. This Research is a quantitative non-experimental with a comparative descriptive design. The sample was divided into two groups, they are Severe NPDR and PDR group, with 30 respondents each. The instrument that used in this study is the National Eye Institute Visual Function Questionaire-25 (NEI VFQ-25). Data analized by Chi Square test. The results showed that no differences in qualityof life in patients with severe NPDR and PDR in the Vitreoretina Polyclinic Outpatient Departement NEC Cicendo Eye Hospital Bandung (p = 1,000). This study illustrates the importance of providing education and encouragement to the patients with Severe NPDR and PDR for regular control about their visual impairment and their diabetes, so the patients will spared from decressing in their quality of life.



2015 ◽  
Vol 25 (suppl_3) ◽  
Author(s):  
ML Tracey ◽  
SM McHugh ◽  
AP Fitzgerald ◽  
CM Buckley ◽  
RJ Canavan ◽  
...  


2013 ◽  
Vol 72 (3) ◽  
Author(s):  
K.S. Naidoo ◽  
D Sweeney ◽  
J Jaggernath ◽  
B. Holden

A cross-sectional, population-based, epidemiological study of blindness and visual impairment was conducted to evaluate the prevalence of vision loss and various sight-threatening conditions in the Lower Tugela health district of the KwaZulu-Natal province, South Africa. This study was conducted on a randomly selected sample of 3444 individuals from the district. This number represented 84% of those who were visited and 80.1% of the total sample selected. The participants ranged in age from 5 to 93 years (mean of 29.2 years and a median of 20.0 years). The proportion of men to women differed between participants aged <30 years and those aged >30 years. In both age groups, women represented the majority of participants (66.5%), but the number of women to men in the older age group was approximately twice that found in the group aged less than 30 years. The difference in age between the men and women in the study was not statistically significant (p >0.5). The study revealed that 6.4% of the population studied were visually impaired. The distribution of uncorrected visual acuity was better for women than for men for both OD and OS (p = 0.000 for OD and OS). The main causes of visual impairment were refractive error (44.5%), cataract (31.2%), glaucoma (6.0%), hypertensive retinopathy (4.1%) and diabetic retinopathy (4.1%). Unilateral blindness (OD) was present in 0.78% (95% Confidence interval (CI): 0.42%-1.14%) of participants and unilateral blindness (OS) was present in 1.1% (95% CI: 0.70%-1.50%). Thirty-one participants (0.9%) were bilaterally blind with the main causes being cataracts (54.8%) and refractive error (12.9%). Glaucoma and hypertensive retinopathy were responsible for 6.4% of ..bilateral blindness. Diabetic retinopathy, other retinal conditions (coloboma) and corneal scarring were each responsible for 3.2% of bilateral blindness. Albinism, coloboma and age-related macular degeneration accounted for 9.7% of bilateral blindness. The data provides much needed information to support the planning of eye care programs in KwaZulu-Natal.  (S Afr Optom 2013 72(3) 110-118)



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