Prevalence of Diabetic Retinopathy in Diabetic Patients; A Hospital Based Study at KD Medical College, Mathura.
Prevalence of Diabetic Retinopathy in Diabetic Patients
Background: India is the country which presently has more than 40 million people suffering with diabetes and this number will become up to 80 million by 2030. Diabetic retinopathy is among the most common ophthalmic complication of diabetes mellitus. WHO has estimated that diabetic retinopathy is responsible for about 4.8% of the 37 million cases of blindness throughout the world. Therefore the present study was designed to assess the prevalence of diabetic retinopathy in diabetic patients in Mathura region. Subjects and Methods: Out of 1716 patients attending the OPD, 225 cases with Type 2 Diabetes in KD Medical College, Mathura were enrolled in the study by universal sampling. A Detailed fundus examination was done by indirect ophthalmoscopy and +90D biomicroscopy. A thorough systemic examination was done. Investigations like Routine blood investigations, Urine examination, Fasting plasma glucose and 2hr post prandial glucose, was advised and undertaken. Results: Out of 1716 patients (Males: 944; Females: 772) screened for Type 2 Diabetes, 225 patients had type 2 diabetes consisting of 1378 Males and 87 Females. Prevalence of Type 2 Diabetes among the study population was 13.11 %. (14.61% For males and 11.26% for females). Prevalence of Diabetic Retinopathy in our study population was 31.11%. Prevalence of DR was 29.71% among males and 33.33% among females. In our study, majority of the patients having Diabetic retinopathy (38.57%) were in the age group 61-70 years followed by patients >70 years (28.57%). Below the age of 60 years, less than 20% of patients had Diabetic retinopathy. Conclusion: Diabetic retinopathy is a major health problem in patients with type 2 Diabetes. Risk factors such as Age, Duration of Diabetesn, Hyperglycemia etc. should be taken into account for regular check-ups and early detection of diabetic retinopathy.