Diabetic retinopathy, visual impairment and ocular status among patients with diabetes mellitus in Yemen: a hospital-based study
- PMID: 19574698
- PMCID: PMC2712699
- DOI: 10.4103/0301-4738.53055
Diabetic retinopathy, visual impairment and ocular status among patients with diabetes mellitus in Yemen: a hospital-based study
Abstract
Background: We present a series of patients with diabetes mellitus (DM) who attended an eye hospital in Sana, Yemen during 2004.
Aim: To determine the magnitude and risk factors of diabetic retinopathy (DR).
Design: Cross-sectional study.
Materials and methods: Ophthalmologists assessed vision, ocular pressure, ocular media and posterior segment to note ocular manifestations among patients with DM. DR was graded by using bio-microscope and Volk lens. The prevalence and 95% confidence interval of ocular complications of DM were calculated. Risk factors of DR like age, sex, duration of diabetes and hypertension were evaluated.
Statistical analysis: Univariate and multivariate analysis.
Results: Our series comprised 350 patients suffering from DM. The duration of diabetes was > or =15 years in 101 (29%) patients. Physician was treating 108 DM patients with insulin. The prevalence of DR was 55% (95% CI 49.6-60.1). The proportions of background diabetic retinopathy (BDR), preproliferative diabetic retinopathy (PPDR), proliferative diabetic retinopathy (PDR) and diabetic macular edema were 20%, 13%, 17% and 22% respectively. The prevalence of blindness among DM patients was 16%. The prevalence of cataract and glaucoma was 34.3% and 8.6%. Duration of DM was the predictor of DR. One-fifth of the patients had sight-threatening DR and needed laser treatment.
Conclusions: DR was of public health magnitude among our patients. An organized approach is recommended to address DR in the study area.
Conflict of interest statement
Similar articles
-
Pattern of diabetic retinopathy in Kano, Nigeria.Ann Afr Med. 2012 Apr-Jun;11(2):75-9. doi: 10.4103/1596-3519.93528. Ann Afr Med. 2012. PMID: 22406665
-
Diabetic retinopathy and ocular co-morbidities among persons with diabetes at Sumail Hospital of Oman.Diabetes Technol Ther. 2009 Oct;11(10):675-9. doi: 10.1089/dia.2009.0032. Diabetes Technol Ther. 2009. PMID: 19821761
-
Prevalence of Diabetic Retinopathy and Risk Factors among Diabetic Patients at University of Gondar Tertiary Eye Care and Training Center, North-West Ethiopia.Middle East Afr J Ophthalmol. 2021 Sep 25;28(2):71-80. doi: 10.4103/meajo.meajo_24_21. eCollection 2021 Apr-Jun. Middle East Afr J Ophthalmol. 2021. PMID: 34759663 Free PMC article.
-
Current epidemiology of diabetic retinopathy and diabetic macular edema.Curr Diab Rep. 2012 Aug;12(4):346-54. doi: 10.1007/s11892-012-0283-6. Curr Diab Rep. 2012. PMID: 22585044 Review.
-
Causes of blindness and visual impairment in Latin America.Surv Ophthalmol. 2012 Mar-Apr;57(2):149-77. doi: 10.1016/j.survophthal.2011.07.002. Epub 2011 Dec 2. Surv Ophthalmol. 2012. PMID: 22137039 Review.
Cited by
-
Retinopathy and risk factors in diabetic patients from Al-Madinah Al-Munawarah in the Kingdom of Saudi Arabia.Clin Ophthalmol. 2012;6:269-76. doi: 10.2147/OPTH.S27363. Epub 2012 Feb 17. Clin Ophthalmol. 2012. PMID: 22368446 Free PMC article.
-
Machine Learning-Based Diagnosis and Ranking of Risk Factors for Diabetic Retinopathy in Population-Based Studies from South India.Diagnostics (Basel). 2023 Jun 16;13(12):2084. doi: 10.3390/diagnostics13122084. Diagnostics (Basel). 2023. PMID: 37370980 Free PMC article.
-
Plasma plasminogen activator inhibitor-1 is associated with end-stage proliferative diabetic retinopathy in the Northern Chinese Han population.Exp Diabetes Res. 2012;2012:350852. doi: 10.1155/2012/350852. Epub 2012 Oct 14. Exp Diabetes Res. 2012. PMID: 23304115 Free PMC article.
-
Screening and public health strategies for diabetic retinopathy in the Eastern Mediterranean region.Middle East Afr J Ophthalmol. 2012 Apr-Jun;19(2):178-84. doi: 10.4103/0974-9233.95245. Middle East Afr J Ophthalmol. 2012. PMID: 22623855 Free PMC article. Review.
-
Linking Diabetic Retinopathy Severity to Coronary Artery Disease Risk Factors in Type 2 Diabetic Patients.Cureus. 2024 Jul 21;16(7):e65018. doi: 10.7759/cureus.65018. eCollection 2024 Jul. Cureus. 2024. PMID: 39165443 Free PMC article.
References
-
- Report on the conference on ‘VISION 2020 Planning for Eastern Mediterranean Region’; Dec. 2003; Cairo, Egypt. (WHO/EMR/PBL/03.1)
-
- World Health Organization. Prevention of Blindness from Diabetes Mellitus. Report of a WHO consultation in Geneva, Switzerland: 9-11 Nov 2005. :1–3.
-
- Al-Adsani AM. Risk factors for diabetic retinopathy in Kuwaiti type 2 diabetic patients. Saudi Med J. 2007;28:579–83. - PubMed
-
- Agarwal S, Raman R, Paul PG, Rani PK, Uthra S, Gayathree R, et al. Study design and research methodology. Ophthalmic Epidemiol. 2005;12:143–53. - PubMed
-
- World Health Organization. Part 1: Diagnosis and classification of Diabetes Mellitus. (WHO/NCD/NCS/992) Geneva: 1999. Definition, diagnosis and classification of Diabetes Mellitus and its complications.
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical