Five-Year Incidence and Progression of Diabetic Retinopathy in Patients with Type II Diabetes in a Tertiary Care Center in Lebanon

Abstract

Objective To estimate the 5-year incidence of progression rate and regression rate and risk factors for diabetic retinopathy (DR) in a cohort of Lebanese patients with type II diabetes. Methods We followed a cohort of 462 Lebanese patients with type II diabetes for over 5 years at the American University of Beirut Medical Center. Patients underwent yearly complete ophthalmic evaluation and fundus photographs and were assessed for the incidence, stage, and evolution of DR using modified Airlie House classification. Results Among the 462 patients, 281 had no DR at baseline. The 5-year cumulative incidence of any DR was 10% (95% CI: 6–13), and only baseline microalbuminuria correlated with the development of DR (OR = 10.53, 95% CI: 4.39–25.23, p < 0.0001). Among the 181 patients with baseline DR, the worsening and regression rates of DR were 31.5% (95% CI: 25–38) and 9% (95% CI: 5–13), respectively. Microalbuminuria also approached statistical significance as a risk factor for DR worsening (OR = 1.89, 95% CI: 0.97–3.70, p = 0.06). Conclusion The 5-year incidence of DR in this hospital-based cohort is relatively low. Microalbuminuria was independently associated with the incidence and progression of the disease. We recommend to screen patients with type II diabetes for microalbuminuria as prognostic for the development and worsening of DR.

Frequency of Diabetic Retinopathy and Factors for Suboptimal Diabetic Control in Type 2 Diabetic Patients in a Trust Hospital of Pakistan

“…It was also consistent with other studies in Pakistan and Lebanon, where 30.2% patients showed positive family history. 14,15 Clinically significant macular edema (CSMO) is the commonest cause of visual impairment in diabetic patients. 16 It was observed in 50% of known diabetic patients who presented in our Eye OPD.…”

Incidence of Retinopathy in Newly Diagnosed Patients with Type-II Diabetes Mellitus

“…The diabetes mellitus is a global pandemic. According to estimates, this disease affects 171 million individuals globally, and the number is increasing gradually [1][2] . One of its frequent and significant side effects, diabetic retinopathy (DR), is one of the main factors causing blindness globally 3 .…”

Corrigendum to “Five-Year Incidence and Progression of Diabetic Retinopathy in Patients with Type II Diabetes in a Tertiary Care Center in Lebanon”

“…In the article titled “Five-Year Incidence and Progression of Diabetic Retinopathy in Patients with Type II Diabetes in a Tertiary Care Center in Lebanon” [ 1 ], Dr. Samih Raad was missing from the authors' list. The corrected authors' list and affiliations are shown above and updated in place.…”