Prevalence and determinants of comprehensive eye care in a group of patients with diabetes: a cross‑sectional study in a sub‑Saharan African setting.

Autor: Jingi, Ahmadou M., Noubiap, Jean Jacques, Bilong, Yannick, Tankeu, Aurel T., Mvogo, Côme Ebana
Zdroj: BMC Research Notes; 2/27/2018, Vol. 11, p1-5, 5p, 2 Charts, 1 Graph
Abstrakt: Objectives: We aimed to investigate the determinants of comprehensive eye examination in diabetes patients. We conducted a cross-sectional study at the eye department of the Douala General Hospital. Adult patients with diabetes were consecutively interviewed on the history of their diabetes. Main outcomes were a first ever comprehensive eye examination including fundoscopy, and diagnosis-to-fundoscopy time. Results: 52 patients were included of whom 59.6% were males with a mean age of 55.9 ± 10.9 years. 51.9% have had counselling on the risk of visual impairment and blindness due to diabetes, and 61.5% [95% CI 47–74.7] have had a comprehensive eye examination. Of those with a first ever fundoscopy, only 21.9% had the test performed within 1 year of diagnosis. Thus, after an average of 10 years of the diagnosis of diabetes, 13.5% (7/52) of patients have had a comprehensive eye examination within 1 year of diagnosis. Only dose with duration of diabetes of more than 10 years were 7–24 times more likely to have a comprehensive eye examination. In summary, patients with diabetes in this low-income setting do not receive a comprehensive eye care as recommended. Most patients will get an eye examination at least 10 years after the diagnosis of diabetes. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index