To study age, incidence, sex incidence and relationship between Diabetic age and Maculopathy, Role of FFA and/or OCT in management. MATERIALS AND METHODS96 eyes of 50 patients were screened in the OPD. Using slit lamp biomicroscopy, FFA and OCT the relationship between Diabetic age and type of maculopathy was analysed. RESULTS32 patients were above 50 years of age and 18 less than 50. Ratio of males-to-females was 2.85:1. In our study 92% had bilateral involvement (Asymmetric), 14% with focal type of maculopathy had 6-10 years' duration; 33% of diffuse had 11-15 years of duration; 30% of ischaemic type had 20-25 years' duration. CONCLUSIONIncidence of diabetic maculopathy was common after 50 years of age and with diabetes of longer duration. FFA is the most important diagnosing tool in classifying type of maculopathy and aids in management. Also focal maculopathy was common in early diabetics, diffuse type and ischaemic type were seen with longer duration of diabetes.
To study the association between various types of Diabetic Macular Oedema (DME) with systemic risk factors namely hypertension, chronic renal disease and Ischaemic Heart Disease (IHD) in South Indian population. MATERIAL AND METHODSThe study was done on 96 eyes of 50 patients. Emphasis was placed on the findings of Fundus Fluorescein Angiography (FFA) to decide about the therapeutic modality. RESULTS32 patients were above 50 years and 18 patients were below 50. Disease affects both eyes, although asymmetrically. In our study, 92% patients had bilateral involvement. None of the diabetic patients associated with hypertension (6 eyes of 3 patients) had DME. All diabetic patients who had chronic renal disease (100%) had either diffuse or mixed type of DME; 85% of patients having history of IHD had ischaemic maculopathy. CONCLUSIONIschaemic maculopathy has no treatment as such, but can definitely be considered as a warning sign for future life-threatening ischaemic cardiac events due to its strong association (85%) and hence necessary steps of prevention should be taken with help of physicians.
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