“A Cross Sectional Study to Evaluate Association Between the Duration of Diabetes and Diabetic Retinopathy in Type 2 Diabetes Mellitus Patients in A Tertiary Care Centre”

2021 ◽  
Vol 8 (2) ◽  
pp. 62-66
Author(s):  
Dr. Sneha Murade ◽  
Dr. Amrut Swami ◽  
Dr. Anil Singh ◽  
Dr. Vikas Khamkar ◽  
Dr. Shruti Swami
Keyword(s):  
Diabetic Retinopathy ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Duration Of Diabetes ◽  
Department Of Ophthalmology ◽  
Patients With Diabetes ◽  
Lifestyle Related Diseases

Introduction: The numbers of people affected with lifestyle related diseases are increasing every day, diabetes being one of the major contributors to the increasing morbidity and mortality in the world. Diabetic retinopathy is one the complications of diabetes which is thought to be associated with the duration of diabetes, we conducted this study to evaluate the same. Methods: This study was conducted at Department of Ophthalmology. Total 100 cases were selected for the study and patient data was collected and analysed. Duration of diabetes and its association with diabetic retinopathy was studied. Results: There were 62 males (62%), most of the participants were more than 60 years of age (54%). Majority of the patients had diabetes for 5 to 10 years (44%) followed by 1 to 5 years (34%) and 0 – 1 year (22%). On FFA examination, majority of the patients had no any diabetic retinopathy (52%) while rest 48 patients had retinopathy (48%). Significant association was seen between the duration of diabetes and presence of diabetic retinopathy. (p=0.002). Conclusion: We found a significant association between the duration of diabetes and diabetic retinopathy. It is important that in patients with diabetes who are not diagnosed as retinopathy by ophthalmoscopy, FFA should be done.

scholarly journals Association of Diabetic Retinopathy with Diabetic Foot in a Tertiary Care Centre

2019 ◽  
Vol 46 (3) ◽  
pp. 90-93
Author(s):  
Purabi Rani Debnath ◽  
Mohammuddunnobi
Keyword(s):  
Diabetic Retinopathy ◽  
Tertiary Care ◽  
Foot Ulcer ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Diabetes Retinopathy ◽  
Department Of Ophthalmology ◽  
Common Causes

Diabetic retinopathy (DR) is one of the most common causes of blindness in developed countries. Early detection of diabetic retinopathy (DR) is crucial for preventing irreversible blindness. To measure the association of diabetic retinopathy with dabetic foot a cross-sectional study was carried out at Department of Ophthalmology and Surgery, BIRDEM General Hospital, Dhaka from January 2017 to September 2017. Patients were included, who were known diabetic. New cases of type-2 diabetes were also included because they might have complications at the time of diagnosis because of the nature of disease. Mean duration of diabetes was significantly higher in DFU with DR group. BUN and diabetes retinopathy were statistically significant (p<0.05) between two groups. Mean HbA1c, pre-prandial glucose, C-peptide, cholesterol, triglyceride, HDL, LDL, hematocrit, creatinine, ABI, TBI and DM foot ulcer were not statistically significant (p>0.05) between two groups. Most patients (33.3%) had a grade I ulcer in DF with DR group and 33.3% in DF without DR group. Medication taking was significantly high patients who were DF without DR. Combined agents was 11(36.7%) and 11(36.7%) in DF with DR and DF without DR group respectively. Insulin was taken 16(53.3%) in DF with DR group and 19(63.3%) in DF without DR group. Maximum patients had a grade I ulcer in diabetes foot ulcer. Medication taking was significantly high patients who were diabetes foot ulcer than without diabetes foot ulcer. Mean insulin, BUN and diabetes retinopathy was found significantly higher in diabetes with diabetes foot ulcer. Mean insulin BUN and diabetic retinopathy was was significantly higher in diabetes with diabetes foot ulcer. Bangladesh Med J. 2017 Sep; 46 (3): 90-93

scholarly journals Comparison of Retinal Sensitivity by Automated Perimetry in Middle Aged Type 2 Diabetic Patients with and without Diabetic Retinopathy - A Cross-Sectional Study in a Tertiary Care Centre in West Bengal

2021 ◽  
Vol 8 (13) ◽  
pp. 835-839
Author(s):  
Abhinav Marlapati ◽  
Sambuddha Ghosh ◽  
Swati Majumdar
Keyword(s):  
Diabetic Retinopathy ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Diabetic Patients ◽  
Retinal Sensitivity ◽  
Automated Perimetry ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Group 2

BACKGROUND We wanted to measure and compare retinal sensitivity in central 30 degree in diabetic patients, with and without diabetic retinopathy in different stages, evaluate changes in retinal sensitivity in relation to change in HbA1c values, measure and compare GCL thickness in various stages of DR with the help of optical coherence tomography (OCT). METHODS This observational, cross-sectional study involving 100 eyes of 100 middle aged (45 - 64 years) type 2 diabetes mellitus patients (50 eyes without DR - group 1 & 50 eyes with DR - group 2) without any other ocular abnormalities was conducted in the outpatient and in-patient departments of department of ophthalmology in a tertiary care centre in West Bengal. Non-randomised sequential sampling was performed with corrected visual acuity better than or equal to 6 / 12. Fasting and postprandial blood glucose and HbA1c were estimated. Detailed ocular examination was performed using direct and indirect ophthalmoscope with + 20 D lens and slit lamp bio-microscope using + 90D lens. Retinal sensitivity was assessed by Humphrey visual field analyser by Swedish Interactive Thresholding Algorithm (SITA) standard strategy (30 - 2 programme). Spectral domain optical coherence tomography (SD OCT) was performed in all patients. SPSS version 20 has been used for the analysis. RESULTS Among DR patients, 33 had mild non-proliferative diabetic retinopathy (NPDR) (male = 15, female = 18) and 17 had moderate NPDR (male = 7, female = 10). Mean age in DR (Gr. 2) and no DR (Gr. 1) group were 52.62 and 50.74 years respectively. Mean foveal sensitivity and mean retinal sensitivity decreased significantly (P-value 0.001 and 0.002 respectively) in group 2 patients. It further decreased with increased severity of DR. Mean ganglion cell + inner plexiform layer (GC + IPL) thickness in temporal quadrant decreased in DR group compared to no DR group with significant difference between the two (P-value < 0.001). Mean retinal nerve fibre layer (RNFL) thickness was significantly reduced in DR group (P-value < 0.001). HbA1c mean in no DR (6.7 %) and DR group (8.07 %) and in mild (7.5 %) and moderate NPDR (9.17 %) shows significant association of poor control of blood sugar with severity of DR. CONCLUSIONS Retinal sensitivity decreased significantly in diabetes even without retinopathy as detected by automated perimetry. Significant decrease in retinal thickness as detected by OCT suggested that neurodegeneration occurs in diabetes even without retinopathy. So automated perimetry and OCT could be helpful in identifying persons at an early stage who are at risk of future vision loss due to diabetes. KEYWORDS Diabetic Retinopathy, Retinal Neurodegeneration, Retinal Sensitivity, Automated Perimetry, GCL + IPL Thickness, RNFL Thickness

16 - Low Prevalence of Fibrate Use in Established Diabetic Retinopathy at a Tertiary Care Centre: A Cross-Sectional Study

2019 ◽  
Vol 43 (7) ◽  
pp. S7
Author(s):  
Justin Morein ◽  
Jeffrey L. Mahon ◽  
Artem Uvarov ◽  
Tamara Spaic ◽  
Irene Hramiak ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Low Prevalence

scholarly journals Knowledge attitudes and practices about diabetes and diabetic retinopathy among diabetic retinopathy patients at a tertiary care hospital in Goa

2019 ◽  
Vol 6 (4) ◽  
pp. 1558
Author(s):  
Tanvi Poy Raiturcar ◽  
Apika K. Sawant ◽  
Shreya S. Lotliker ◽  
Jagadish A. Cacodcar ◽  
Preksha P. Vernekar
Keyword(s):  
Diabetic Retinopathy ◽  
Blood Sugar ◽  
Tertiary Care ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Chi Square ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Patients With Diabetes

Background: Diabetic retinopathy is one of the most common complication of diabetes with a prevalence of 7.3-25%. There have been several studies done in India to assess the knowledge and awareness on diabetes and diabetic retinopathy among patients with diabetes, however very few studies assessed knowledge, awareness and practices amongst patients with diabetic retinopathy.4-7 Besides, no such study was undertaken at Goa Medical College.Methods: A cross-sectional study was conducted among 100 consecutive diabetic retinopathy patients attending ophthalmology out-patient department (OPD) at Goa Medical College and Hospital. The patients were administered a pre-tested proforma to assess their level of awareness and attitudes and practices towards diabetes and diabetic retinopathy. Data was entered in Microsoft excel 2010; analysed using the SPSS version 22. Chi-square test was used as test of significance.Results: In our study, 58% were aware of the symptoms of diabetes. 15% were aware of the multiple complications. 35% had knowledge about only one test for detecting diabetes i.e. fasting blood sugar level. 22% had never heard about HbA1c. 49% were not aware that they had diabetic retinopathy. 76% felt it is important to continue medications even if blood sugar levels were normal. 62% were aware of the importance of exercise. 71% took their medications regularly, 72% checked their blood sugar regularly. There was a significant association between educational status and awareness and practices towards diabetes.Conclusions: The diabetic retinopathy patients in our study had a fair knowledge about diabetes and diabetic retinopathy. 

A Study on Prevalence of Ocular Injuries among Workmen of Welding, Grinding and Polishing, Attending the Out Patient Department and Emergency Department of a Tertiary Care Centre

2021 ◽  
Vol 8 (8) ◽  
pp. 425-428
Author(s):  
Lipika Panda ◽  
Prafulla Chandra Mahapatra ◽  
Kamala Kanta Sahoo
Keyword(s):  
Foreign Body ◽  
Tertiary Care ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Eye Injuries ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Department Of Ophthalmology ◽  
Ocular Injuries

BACKGROUND We wanted to estimate the incidence and prevalence of ocular injuries among occupational workers in welding and grinding industry treated in a tertiary care hospital, determine the major types of ocular morbidities in welding and grinding workers and identify the vulnerable age groups suffering from ocular injuries due to welding and grinding. METHODS This hospital based cross-sectional study was carried out among 712 patients having ocular injuries only for occupational workers doing welding, grinding or polishing work. The study period was from 01 / 01 / 2018 to 30 / 06 / 2018. The study was conducted in the Department of Ophthalmology, Hi-Tech Medical College and Hospital. All patients were assessed for demographic distribution, detailed ocular evaluation and a questionnaire related to awareness about the injuries and safety measures taken during the work. RESULTS During the period of study, 712 patients who had ocular injuries due to welding and grinding work were included in the study. The mean age was 33.87 years with a standard deviation (SD) of 9.86. There were no female workers who reported such injuries. Most injuries were corneal foreign body (63.90 %), conjunctival foreign body (2.81 %), conjunctivitis due to fumes (11.94 %), laceration (8.71 %) and keratoconjunctivitis (12.64 %). CONCLUSIONS To complement standard epidemiological research, the narrative accident text offers useful evidence. Staff conducting a welding job or working with local welders should be qualified to recognise possible dangers and appropriate protective equipment should be used to prevent eye injury. KEYWORDS Ocular Injuries, Welding & Grinding Work, Risk Factor for Eye Injuries

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