Prevalence of Diabetic Retinopathy and Blindness in Indonesian Adults With Type 2 Diabetes
| Autor: | Felicia Widyaputri, Tri Wahyu Widayanti, Muhammad Bayu Sasongko, Angela Nurini Agni, Tien Yin Wong, Satyaprabha Kotha, Firman Setya Wardhana, Supanji Haryanto, Rifa Widyaningrum, Prateek Gupta, Ryo Kawasaki, Jie Jin Wang |
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| Rok vydání: | 2017 |
| Předmět: |
Blood Glucose
Male Rural Population medicine.medical_specialty Pediatrics Urban Population Cross-sectional study Population 030209 endocrinology & metabolism Blood Pressure Type 2 diabetes Blindness 03 medical and health sciences 0302 clinical medicine Population Groups Risk Factors Diabetes mellitus Surveys and Questionnaires Epidemiology medicine Prevalence Humans education Aged education.field_of_study Diabetic Retinopathy business.industry Diabetic retinopathy Middle Aged medicine.disease Surgery Ophthalmology Cross-Sectional Studies Diabetes Mellitus Type 2 Indonesia Cohort 030221 ophthalmology & optometry Population study Female business |
| Zdroj: | American journal of ophthalmology. 181 |
| ISSN: | 1879-1891 |
| Popis: | Purpose To report the prevalence of diabetic retinopathy (DR) and DR-related blindness in an Indonesian population with type 2 diabetes. Methods Design : Population-based cross-sectional study. Setting : Community health centers. Study Population : We recruited 1184 people aged older than 30 years with type 2 diabetes residing in Jogjakarta, Indonesia. Multistage, clustered random sampling based on regencies and districts in Jogjakarta was used. Observation Procedure : Detailed interviews, general and eye examinations, and anthropometric measurement were performed. Disc- and macula-centered retinal photographs were taken to assess DR. The definition of DR followed a modified Airlie House classification system and was categorized into mild, moderate, and vision-threatening DR (VTDR). Main Outcome Measure(s) : Prevalence and severity of DR. Results The median (range) age and diabetes duration of participants was 59 (52–65) and 4 (2–9) years. The prevalence of DR was 43.1% (95% confidence interval 39.6%–46.6%), with mild, moderate, and severe NPDR and PDR to be 9.41%, 7.46%, 11.1%, and 12.1%, respectively. The prevalence of VTDR was 26.3% (23.1%–29.5%). Longer diabetes duration, higher fasting glucose, presence of hypertension, and foot ulcers were associated with DR and VTDR. The prevalence of bilateral blindness was 4% and 7.7% in persons with DR and VTDR. Conclusions This study reports a high prevalence of any DR and VTDR among Indonesian adults with type 2 diabetes in urban and rural areas: approximately 1 in 4 adults with diabetes had VTDR and 1 in 12 of those with VTDR was bilaterally blind, suggesting the need for appropriate screening and management of DR among the Indonesian population. |
| Databáze: | OpenAIRE |
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