Determinants of previous dilated eye examination among type II diabetics in Southwestern Nigeria

Onakpoya, Oluwatoyin Helen; Adeoye, AO; Kolawole, Babatope

doi:10.1016/j.ejim.2010.01.009

Cited by 29 publications

(38 citation statements)

References 14 publications

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“…Other studies assessing smaller populations found the prevalence of having eye exams to be much lower. In the studies in Table , between 43% and 77.1% of patients had never had an eye exam. Correlates of having had screening included increased education level, use of government hospitals, knowledge of diabetes/DR, attendance at urban hospitals ( vs. rural), concern about vision loss and recommendation from a provider .…”

Section: Resultsmentioning

confidence: 97%

“…Physicians and village health workers, however, both predicted cost to be the most important barrier to screening, perhaps suggesting a gap in communication or understanding of patient preferences. A study conducted in Nigeria found that lack of referral and lack of symptoms were the most common reasons given for not having an eye screening, further suggesting a need for increased education …”

Section: Resultsmentioning

confidence: 99%

“…The need for treatment has been described as significant. In studies of eye clinics, it was found that 9.6%, 7.8%, 13.2% and 21% of people presenting to ophthalmology clinics in Nigeria, Nepal, Myanmar and Brazil, respectively, were there for DR or DME. Therapies in those clinics are often, however, not readily available.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Addressing risk factors, screening, and preventative treatment for diabetic retinopathy in developing countries: a review

Lin

Ramulu

Lamoureux

et al. 2016

Clinical Exper Ophthalmology

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The number of people with diabetic retinopathy (DR) has increased with the increasing prevalence of diabetes mellitus worldwide, especially in developing countries. In recent years, the successful implementation of public health programs in developed countries has been thought to contribute to decreases in blindness from DR. Developing countries, however, have not seen the same improvements, and their public health interventions still face significant challenges. In this review we describe the current state of public health approaches including risk factor control, screening and treatment techniques for DR in developing countries, and suggest recommendations. While the awareness of DR is variable, specific knowledge about DR is low, such that many patients have already experienced vision loss by the time they are screened. Attempts to improve rates of screening, in particular through non-mydriatic cameras and tele-screening, are ongoing and promising, although challenges include collaboration with healthcare systems and technology failures. Laser treatment is the most readily available, with anti-VEGF therapy and vitreo-retinal surgery increasingly sought after and provided. Recommendations include the use of 'targeted mydriasis' for fundus imaging to address high rates of ungradable images, increased communication with diabetes management services to improve patient retention and mobilization of access to DR treatments.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Addressing risk factors, screening, and preventative treatment for diabetic retinopathy in developing countries: a review

Lin

Ramulu

Lamoureux

et al. 2016

Clinical Exper Ophthalmology

View full text Add to dashboard Cite

show abstract

“…Thus, education programs about diabetes care that are presented by the public health sector or primary care centers should be strengthened. In previous studies, patients with a longer duration of diabetes [17], [27] and who received medical care [17], [20], [27] were more likely to be screened for retinopathy and nephropathy.…”

Section: Discussionmentioning

confidence: 92%

“…Many previous studies suggested that a lack of or inadequate knowledge regarding the necessity for retinopathy screening is the main barrier to receiving screening [27], and receiving diabetes education is associated with an increased screening rate for diabetic retinopathy [19], [20]. Disease management strategies are associated with better diabetes care such as higher retinal and nephropathy screening rates [28].…”

Section: Discussionmentioning

confidence: 99%

Screening for Diabetic Retinopathy and Nephropathy in Patients with Diabetes: A Nationwide Survey in Korea

et al. 2013

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This study was performed to identify factors associated with screening for diabetic retinopathy and nephropathy. Data from the Korean National Health and Nutrition Examination Survey between 2007 and 2009 were analyzed. Of 24,871 participants, 1,288 patients diagnosed with diabetes at ≥30 years of age were included. 36.3% received screening for diabetic retinopathy, and 40.5% received screening for diabetic nephropathy during the previous year. Patients living in rural areas, those with less education, those who had not received education about diabetes care, and those who did not receive medical care for diabetes were screened less often for retinopathy or nephropathy. Patients with poorer self-reported health status were screened more often. Occupation, smoking status, and diabetes duration were associated with retinopathy screening. Lower family income was associated with decreased nephropathy screening. Receiving education about diabetes care and receiving medical care for diabetes were significant factors in patients with a shorter duration of diabetes (the significant odds ratio [OR] of not receiving education varied between 0.27 and 0.51, and that of not receiving medical care varied between 0.34 and 0.42). Sociodemographic factors and health-related factors as well as education and medical care influenced screening for diabetic complications among those with a longer duration of diabetes (for retinopathy and nephropathy, the significant OR of living in a rural area varied between 0.56 and 0.61; for retinopathy, the significant OR of current smokers was 0.55, and the p-trend of subjective health status was <0.001; for nephropathy, the significant OR of a monthly household income of <3000 dollars was 0.61 and the p-trends of education and subjective health status were 0.030 and 0.007, respectively). Efforts to decrease sociodemographic disparities should be combined with education about diabetes care to increase the screening, especially for those with a longer duration of diabetes.

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Visual impairment and blindness in type 2 diabetics: Ife-Ijesa diabetic retinopathy study

Onakpoya

Adeoye

et al. 2015

Int Ophthalmol

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Diabetes and blindness are important health issues globally; we determined the prevalence of blindness, diabetic retinopathy, and other eye diseases in Nigerian-type 2 diabetics. A prospective, cross-sectional study was conducted on consenting type 2 diabetic patients who had scheduled comprehensive eye examination including dilated funduscopy with +78DS. Visual status was graded using the WHO criteria. Approval from Institutional Ethics Committee was obtained. Primary outcome measures were the prevalence and causes of blindness as well as prevalence of diabetic retinopathy. Secondary outcome measures were the presence of other eye diseases. Data were analyzed using SPSS version 13. Two hundred and sixty-six eyes of 133 type 2 diabetic patients aged 22-89 years were studied; 69 (51.9 %) were males while 64 (48.1 %) were females. Five (3.8 %) patients were blind while 27 (20.3 %) were visually impaired. Cataract was the leading cause of blindness (60 %) and visual impairment was found in 59.3 %. Diabetic retinopathy was present in 37 (27.8 %) diabetic patients of which 5 (3.8 %) were proliferative. Diabetic macular edema was present in 31 (23.3 %) patients. Severe visual impairment and blindness were commoner in those with diabetic retinopathy. Refractive error 67 (25.2 %), cataract 63 (23.7 %), and chronic glaucoma 44 (16.5 %) were the most prevalent non-diabetic retinopathy eye diseases. High prevalence of blindness, diabetic retinopathy, and other diseases are seen in type 2 diabetics. Health education, early diagnosis as well as treatment of diabetic retinopathy and other diseases will largely alleviate these ocular morbidities.

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Determinants of previous dilated eye examination among type II diabetics in Southwestern Nigeria

Cited by 29 publications

References 14 publications

Addressing risk factors, screening, and preventative treatment for diabetic retinopathy in developing countries: a review

Addressing risk factors, screening, and preventative treatment for diabetic retinopathy in developing countries: a review

Screening for Diabetic Retinopathy and Nephropathy in Patients with Diabetes: A Nationwide Survey in Korea

Visual impairment and blindness in type 2 diabetics: Ife-Ijesa diabetic retinopathy study

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