scholarly journals INDIKASI FOTOKOAGULASI LASER PADA PASIEN RETINOPATI DIABETIK DI BALAI KESEHATAN MATA PROPINSI SULAWESI UTARA PERIODE JANUARI – DESEMBER 2012

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Renta Tappang ◽  
Harry Sumual ◽  
Laya Rares
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Retinopathy ◽  
Retrospective Study ◽  
Proliferative Diabetic Retinopathy ◽  
Medical Records ◽  
Laser Photocoagulation ◽  
Age Group ◽  
North Sulawesi ◽  
Diabetes Melitus

Abstract: Diabetic retinopathy is one of the vascular disorders that can occur in type 1 and 2 diabetes mellitus cases after 10-15 years. Treatment of diabetic retinopathy is based on its severity; one of the treatment is laser photocoagulation.This study aimed to find out the indication of laser photocoagulation procedure among diabetic retinopathy cases at BKMM North Sulawesi Province. This was a descriptive retrospective study using the medical records of diabetic retinopathy cases who underwent laser photocoagulation. There were 35 cases as samples who underwent laser photocoagulation during January– December 2012. The results showed that most cases were proliferative diabetic retinopathy (86,6%).  The most frequent age group was 41-60 years (68.6%),  predominantly females (60%). Moreover, there were 80% cases who underwent one time of laser photocoagulation meanwhile the others 20% underwent more than one photocoagulation during  January– December 2012. Conclusion: The most frequent indication of laser photocoagulation among diabetic retinophaty cases at BKMM North Sulawesi Province was proliferative diabetic retinopathy. Keywords: indication of laser photocoagulation, retinopathy    Abstrak: Retinopati diabetik adalah suatu kelainan vaskular yang terjadi pada kasus diabetes melitus tipe 1 dan 2 setelah 10 – 15 tahun. Penatalaksanaan retinopati diabetik dibuat berdasarkan pada tingkat kelainan penyakitnya; salah satu cara ialah dengan menggunakan terapi fotokoagulasi laser. Penelitian ini bertujuan untuk mengetahui indikasi fotokoagulasi laser pada kasus retinopati diabetik di Balai Kesehatan Mata Masyarakat (BKMM) Propinsi Sulawesi Utara. Metode penelitian ini deskriptif retrospektif dengan menggunakan catatan rekam medik kasus retinopati diabetik yang telah dilakukan fotokoagulasi laser. Sampel berjumlah 35 kasus retinopati diabetik yang menjalani fotokoagulasi laser pada periode Januari – Desember 2012 dengan persentase terbanyak retinopati diabetik proliferatif (88,6%). Kelompok usia tersering 41-60 tahun (68,6%), sedangkan jenis kelamin  didominasi oleh perempuan (60%). Kasus yang terbanyak (80%) ialah yang menjalani hanya satu kali fotokoagulasi laser sedangkan sisanya (20%) menjalani tindakan tersebut lebih dari satu kali. Simpulan: Pada kasus retinopati diabetik di BKMM Propinsi Sulawesi Utara indikasi tersering untuk dilakukan fotokoagulasi laser ialah retinopati diabetik proliferatif. Kata kunci: indikasi fotokoagulasi laser, retinopati

scholarly journals Prevalence of Diabetic Retinopathy in Type 1 and Type 2 Diabetes Mellitus Patients in North-East Poland

Medicina ◽  
2020 ◽  
Vol 56 (4) ◽  
pp. 164
Author(s):  
Wojciech Matuszewski ◽  
Angelika Baranowska-Jurkun ◽  
Magdalena M. Stefanowicz-Rutkowska ◽  
Robert Modzelewski ◽  
Janusz Pieczyński ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Retinopathy ◽  
Proliferative Diabetic Retinopathy ◽  
Lifestyle Changes ◽  
North East ◽  
Experimental Group

Background and Objectives: The global epidemic of diabetes, especially type 2 (DM2), is related to lifestyle changes, obesity, and the process of population aging. Diabetic retinopathy (DR) is the most serious complication of the eye caused by diabetes. The aim of this research was to assess the prevalence of diabetic retinopathy in type 1 and type 2 diabetes mellitus patients in north-east Poland. Materials and Methods: The eye fundus was assessed on the basis of two-field 50 degrees color fundus photographs that showed the optic nerve and macula in the center after the pupil was dilated with 1% tropicamide. Results: The experimental group included 315 (26%) patients with type 1 diabetes mellitus (DM1) and 894 (74%) patients with DM2. DM1 patients were diagnosed with DR in 32.58% of cases, with non-proliferative diabetic retinopathy (NPDR) in 24.44% of cases, proliferative diabetic retinopathy (PDR) in 1.59% of cases, diabetic macular edema (DME) in 5.40% of cases, and PDR with DME in 0.95% of cases. DR was found in DM2 patients in 23.04% of cases, NPDR in 17.11% of cases, PDR in 1.01% of cases, DME in 4.81% of cases, and PDR with DME in 0.11% of cases. Conclusions: The presented study is the first Polish study on the prevalence of diabetic retinopathy presenting a large group of patients, and its results could be extrapolated to the whole country. Diabetic retinopathy was found in 25.48% of patients in the whole experimental group. The above results place Poland within the European average, indicating the quality of diabetic care offered in Poland, based on the number of observed complications.

Evaluation of the technical features of vitreoretinal surgery for proliferative diabetic retinopathy in young patients

Reflection ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 36-42
Author(s):  
O.V. Kolenko ◽  
◽  
Y.B. Lebedev ◽  
A.Y. Khudyakov ◽  
E.L. Sorokin ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Diabetic Retinopathy ◽  
Type 1 Diabetes Mellitus ◽  
Proliferative Diabetic Retinopathy ◽  
Young Patients ◽  
Vitreoretinal Surgery ◽  
High Tendency ◽  
Type 1 Dm

Aim. To investigate the technical difficulties of performing the stages of vitreoretinal surgery, the peculiarities of the surgical technique in young patients with the proliferative stage of diabetic retinopathy (DR). Methods. Twelve patients (12 eyes) with type 1 diabetes mellitus (DM) were selected. Their average age was 26±2 years (from 19 to 30 years). There were 4 men and 8 women. All patients had DM since childhood. Selection criteria: presence of indications for vitreoretinal surgery for proliferative DR, age of patients with type 1 DM not more than 30 years, onset of DM in childhood. Results. Initially, the clinical manifestations of proliferative DR in young people with type 1 DM were distinguished by the severity of neovascular and fibrous growths, a tendency to hemorrhages, and the complexity of preoperative preparation in the form of panretinal laser coagulation, at least partial. Surgical removal of vitreoretinal adhesions and elimination of neovascularization zones differed in technical difficulties associated with their higher density and the area of retinal tissue lesion. Conclusion. Surgical treatment of proliferative DR in young patients has a number of technical difficulties associated with the density and length of fibrovascular vitreoretinal growths, the difficulty of separating them due to the high tendency of newly formed vessels to hemorrhages. Key words: proliferative diabetic retinopathy; endovitreal surgery; type 1 diabetes mellitus; young age.

Features of surgery for proliferative diabetic retinopathy in young patients

2021 ◽  
pp. 113-116
Author(s):  
Y.B. Lebedev ◽  
◽  
A.Y. Khudyakov ◽  
E.L. Sorokin ◽  
◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Diabetic Retinopathy ◽  
Proliferative Diabetic Retinopathy ◽  
Young Patients ◽  
Vitreoretinal Surgery ◽  
Dense Adhesion ◽  
Varying Length ◽  
Technical Features

Purpose. To investigate the technical features and difficulties of performing vitreoretinal surgery in proliferative diabetic retinopathy (DR) in young patients. Material and methods. 12 patients (12 eyes) aged 19 to 30 years, averaging 26±2 years. There were 4 men and 8 women. All patients had diabetes mellitus (DM) in childhood. The duration of type 1 diabetes ranged from 12 to 18 years. Results. Initially, 8 eyes showed combined retinal and peripapillary neovascularization with gliza on the vascular arcades. In 4 eyes, there was both diffuse hemophthalmos and preretinal clots of varying length and volume. In 8 eyes, dense adhesion of the altered posterior hyaloid membrane and the inner border membrane was revealed. In 4 eyes, vasoproliferative membranes were determined, which contributed to the development of traction effects on the retina. The most dangerous was the traction component on the macular retina. Conclusion. Surgical treatment of proliferative DR in young patients has a number of technical difficulties associated with the anatomical features of the macular interface and the features of the proliferative response to surgery. Noteworthy is the minimum time for the transition of DR to the proliferative stage. Key words: proliferative diabetic retinopathy, endovitreal surgery, type 1 diabetes mellitus.

scholarly journals Management of Acute Proliferative Diabetic Retinopathy Related Complications During the First COVID-19 Wave

2021 ◽  
Author(s):  
Niku Dhillon ◽  
Cynthia Santiago
Keyword(s):  
Type 1 Diabetes ◽  
Diabetic Retinopathy ◽  
Retrospective Study ◽  
Proliferative Diabetic Retinopathy ◽  
Neovascular Glaucoma ◽  
Ophthalmic Pathology ◽  
Retinal Screening ◽  
Set Up

Abstract Background. Routine hospital eye services (HES) and diabetic retinal screening were paused during COVID lockdown in March 2020. Alternate pathways for managing acute ophthalmic pathology were devised in NHS Grampian: Emergency eye treatment centres (EETC) manned by community optometrists were set up to treat and triage referrals to HES. Methods. Retrospective study analysing patients referred to HES with proliferative diabetic retinopathy (PDR) related complications between March and August 2020. Results. 52 eyes of 46 patients with PDR related complications were identified. HES appointment had been delayed or cancelled in 43% due to COVID. Mean age was 54.5 years (± 15.1), 46% were female, 46% had type 1 diabetes; mean HbA1c was 78 mmol/l (± 18.7). Vision ranged from 6/6 to perception of light. 36 patients had unilateral vitreous haemorrhage (VH), 6 bilateral, 2 tractional retinal detachments and 3 had neovascular glaucoma. Following assessment, 23 eyes received anti-VEGF injection within 3 days, two had PRP on the same day, 16 were rebooked for urgent PRP, 13 referred for urgent surgical review and 17 advised observation. After a mean follow-up of 6 months, 12 eyes (23%) of 11 patients progressed to have vitrectomy. Conclusion. Despite lockdown, hospital appointment cancellations and recommended footfall reduction limiting capacity due to COVID19, patients reaching out with PDR complications were promptly referred to HES and appropriate treatments carried out with COVID precautions as recommended.

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