Spectrum of Eye Disease in Diabetes (SPEED) in India: A prospective facility-based study. Report # 4. Glaucoma in people with type 2 diabetes mellitus
| Autor: | UmeshC Behera, Harsha Bhattacharjee, Taraprasad Das, Clare Gilbert, GV S Murthy, R Rajalakshmi, HiraB Pant, null on behalf |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Rural Population Pediatrics medicine.medical_specialty Open angle glaucoma genetic structures Urban Population Eye disease Population Glaucoma India Risk Assessment 03 medical and health sciences Young Adult 0302 clinical medicine Age Distribution Diabetes mellitus medicine Gonioscopy Humans Prospective Studies Sex Distribution education Aged Aged 80 and over education.field_of_study Diabetic Retinopathy medicine.diagnostic_test business.industry Incidence Diabetes Type 2 Diabetes Mellitus Diabetic retinopathy Middle Aged medicine.disease eye diseases Hospitals Ophthalmology Cross-Sectional Studies Diabetes Mellitus Type 2 030221 ophthalmology & optometry Original Article Female sense organs business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Indian Journal of Ophthalmology |
| ISSN: | 1998-3689 0301-4738 |
| Popis: | Purpose: To estimate the proportion of people with type 2 diabetes mellitus (T2DM) and glaucoma in a facility-based cross-sectional observational study in India. Methods: All people received a comprehensive eye examination. Glaucoma-specific examinations included applanation tonometry, optic disc and cup evaluation, and stereo biomicroscopy in all people; gonioscopy and visual field testing in glaucoma suspects. The International Society of Geographic and Epidemiologic Ophthalmology guidelines were used to diagnose and classify glaucoma. Results: The study recruited 11,182 people (average age: 58.2 ± 10.6; range 39–96 years). Glaucoma was diagnosed in 4.9% (n = 547) people. About 76.8% (n = 420) of those with glaucoma had bilateral disease, and 98.7% (n = 540) were >40 years. Among people with bilateral disease, 94.5% (n = 397) had primary glaucoma – open angle in 59.3% (n = 228) and angle closure in 40.2% (n = 169). Diabetes duration was ≤10 years in 71.5% (n = 300) people. On linear regression, the following were associated with glaucoma: advancing age [compared with 60 years age group (OR: 2.05, 95% CI: 1.57–2.67; P < 0.001), and diabetic neuropathy (OR: 2.62, 95% CI: 1.35–5.10, P < 0.003). Glycemic control did not have significant association (P = 0.425). Conclusion: Presence of glaucoma in people with T2DM in this cohort was similar to the general population prevalence studies in India. Glaucoma was invariably bilateral. A comprehensive eye examination in people age 40 years and older with diabetes and/or glaucoma is beneficial. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|