Mater Sociomed. 2019 Dec;31(4):290-293. doi: 10.5455/msm.2019.31.290-293.
Epidemiology of Diabetic Retinopathy at Eye Clinic Svjetlost Sarajevo: Two Years Retrospective Single Center Study.
Materia socio-medica
Ajla Pidro, Melisa Ahmedbegovic-Pjano, Senad Grisevic, Vernesa Sofic-Drino, Kresimir Gabric, Alma Biscevic
Affiliations
Affiliations
- Eye Clinic Svjetlost Sarajevo, Sarajevo, Bosnia and Herzegovina.
- University Eye Clinic Svjetlost Zagreb, Zagreb, Croatia.
PMID: 32082096
PMCID: PMC7007630 DOI: 10.5455/msm.2019.31.290-293
Abstract
INTRODUCTION: Diabetic retinopathy (DR) is an important cause of blindness, and occurs as a result of long-term accumulated damage to the small blood vessels in the retina. 2.6% of global blindness can be attributed to diabetes. Disease severity was most often classified by the Early Treatment Diabetic Retinopathy Study (ETDRS) classification for DR severity. Patients are usually categorized based on the severity of DR as having mild nonproliferative diabetic retinopathy (NPDR), moderate NPDR, severe NPDR, or proliferative diabetic retinopathy (PDR).
AIM: To evaluate DR status among patients at Eye Clinic Svjetlost Sarajevo , both, type 1 and type 2 DM patients who presented in our clinic at 2 years period - from June 2016 to June 2018. This is single center study.
METHODS: Retrospective analysis of 753 diabetic patients that came for the first check up in our institution during those two years, 363 patients were male and 390 were female. Patients were divided in 3 groups (based on DR changes): a) No changes, b) Nonproliferative DR (with and without Diabetic macular edema-DME), c) Prolipherative DR (with and without DME + Advanced PDR).
RESULTS: There were 35% of patients with no ocular changes, 41.2% had NPDR and 24% had PDR. Prevalence of DR in our study was 65.32%. Distribution of NPDR was 66.27%, and PDR was 33.73%. DME was present in 33.70% cases. In NPDR, DME was presented in 51% of the cases, while in PDR was presented in 49% of the cases. In state of advanced PDR, PDR was presented in 30.52% cases, tractional detachment and haemophtalmus in 50.20% of cases and neovascular glaucoma in 19.28%. Sixty-three patients ended up with vitroretinal surgery (8.4%) while in other studies that number is up to 3%. Out of that number 9 patients were patient with virgin eyes (14.28%). Neovascular glaucoma occurred in 19.28% of diabetics with proliferative retinopathy and 4.60% in all of diabetics.
CONCLUSION: Diabetic retinopathy status of patients presenting at Eye clinic Svjetlost Sarajevo, Bosnia and Herzegovina is quite poor. There is a big need for early DR screening measures, good prevention and management of DR risk factors. Adequate and ON TIME management of DM and its vision threatening complications is of major importance.
© 2019 Ajla Pidro, Melisa Ahmedbegovic-Pjano, Senad Grisevic, Vernesa Sofic-Drino, Kresimir Gabric, Alma Biscevic.
Keywords: Diabetic retinopathy; Early Treatment Diabetic Retinopathy Study; nonproliferative retinopathy; proliferative retinopathy
Conflict of interest statement
There are no conflicts of interest.
References
- Can J Ophthalmol. 2010 Feb;45(1):28-32 - PubMed
- JAMA. 2010 Aug 11;304(6):649-56 - PubMed
- Lancet Glob Health. 2013 Dec;1(6):e339-49 - PubMed
- Rev Assoc Med Bras (1992). 2009 May-Jun;55(3):268-73 - PubMed
- Graefes Arch Clin Exp Ophthalmol. 2004 Jul;242(7):535-40 - PubMed
- Ophthalmology. 1998 Mar;105(3):406-11 - PubMed
- Br J Ophthalmol. 2015 Oct;99(10):1328-33 - PubMed
- Lancet. 2010 Jun 26;375(9733):2215-22 - PubMed
- Ophthalmology. 2008 Nov;115(11):1869-75 - PubMed
- Acta Ophthalmol. 2015 Mar;93(2):e140-7 - PubMed
- Arch Ophthalmol. 1989 Feb;107(2):237-43 - PubMed
- Ophthalmic Epidemiol. 2014 Jun;21(3):169-77 - PubMed
- Eye (Lond). 2014 Aug;28(8):986-91 - PubMed
- Arch Ophthalmol. 2004 Apr;122(4):546-51 - PubMed
- Ophthalmology. 1992 Jan;99(1):58-62 - PubMed
- Ophthalmology. 1991 May;98(5 Suppl):823-33 - PubMed
- Acta Ophthalmol Scand. 2004 Aug;82(4):443-8 - PubMed
- Ethiop Med J. 2013 Apr;51(2):105-13 - PubMed
- Br J Ophthalmol. 2012 Sep;96(9):1168-72 - PubMed
- Rev Panam Salud Publica. 2011 Nov;30(5):408-14 - PubMed
- Br J Ophthalmol. 2006 Nov;90(11):1404-9 - PubMed
- Glob Heart. 2016 Sep;11(3):337-342 - PubMed
- Clin Exp Ophthalmol. 2014 Dec;42(9):875-82 - PubMed
- Invest Ophthalmol Vis Sci. 2013 Oct 17;54(10):6827-33 - PubMed
- Aust N Z J Public Health. 2000 Dec;24(6):565-9 - PubMed
- Diabetes Care. 2013 Feb;36(2):336-41 - PubMed
- Ophthalmology. 2012 Oct;119(10):2119-24 - PubMed
- Nepal J Ophthalmol. 2014 Jan;6(11): - PubMed
- Acta Ophthalmol (Copenh). 1983 Aug;61(4):662-72 - PubMed
- Ophthalmic Epidemiol. 2010 Aug;17(4):251-65 - PubMed
- Arch Ophthalmol. 2004 Apr;122(4):552-63 - PubMed
- Acta Ophthalmol. 2013 Dec;91(8):716-21 - PubMed
- J Diabetes. 2015 Jan;7(1):139-41 - PubMed
- Eye (Lond). 2002 Mar;16(2):140-5 - PubMed
- Ophthalmology. 2009 Feb;116(2):311-8 - PubMed
- Diabetes Res Clin Pract. 2012 Nov;98(2):329-37 - PubMed
- Lancet. 2010 Jul 10;376(9735):124-36 - PubMed
- Diabetes Res Clin Pract. 2002 Aug;57(2):119-29 - PubMed
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