Prevalence and associated risk factors of diabetic retinopathy and macular oedema in patients recently diagnosed with type 2 diabetes
| Autor: | Enrique O Graue-Hernandez, Carlos A Aguilar-Salinas, Aida Jimenez-Corona, David Kershenobich-Stalnikowitz, David Rivera-de-la-Parra, Sergio Hernández-Jiménez |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
retina Macular oedema Type 2 diabetes 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Internal medicine Diabetes mellitus Epidemiology medicine In patient macula 030212 general & internal medicine Original Research business.industry Diabetic retinopathy medicine.disease Ophthalmology medicine.anatomical_structure Diabetic macular oedema lcsh:RE1-994 030221 ophthalmology & optometry epidemiology business Optic disc |
| Zdroj: | BMJ Open Ophthalmology BMJ Open Ophthalmology, Vol 5, Iss 1 (2020) |
| ISSN: | 2397-3269 |
| Popis: | ObjectiveTo determine the prevalence of diabetic retinopathy (DR) and diabetic macular oedema (DME) and their associated risk factors in patients recently diagnosed with type 2 diabetes.Methods and analysisWe carried out a cross-sectional study from April 2014 to August 2017. We included patients aged ≥18 years. Diabetes was defined as fasting plasma glucose of >7.8 mmol/L or 2-hour postload plasma glucose of >11.1 mmol/L. Non-mydriatic fundus examination with a digital-fundus camera was performed. Three images centred in the macula, optic disc and temporal to the macula were obtained and graded according to the Scottish Scale Classification of Diabetic Retinopathy.Results1232 patients (mean age 51.5 years) with a diabetes duration of 0–5 years were examined. Age-adjusted and sex-adjusted prevalence of DR and DME was 17.4% (95% CI 15.3% to 19.6%) and 6.6% (95% CI 5.4% to 8.2%), respectively. DR was associated with diabetes duration (OR per year=1.20, pConclusionOur study contributes to the evidence of progressive increase in DR and DME risk in early stages of diabetes, supporting the urgent need for early screening. |
| Databáze: | OpenAIRE |
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