Prevalence and severity of diabetic retinopathy among diabetic patients presenting to a tertiary eye hospital in Nepal

Paudyal, Govinda; Shrestha, Mohan Krishna; Poudel, Manish; Tabin, Geoffrey; Ruit, Sanduk; Thomas, Benjamin

doi:10.4103/meajo.meajo_65_18

Cited by 9 publications

(5 citation statements)

References 13 publications

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“…Other studies done in Nepal also showed varying prevalence of NPDR ranging from 13.28% to 14.7%, PDR ranging from 7.3% to 6.9% and maculopathy in 4.6%. 12,14 The higher prevalence of DR in our study may be due to late presentation of the diabetic patients to the hospital and lack of awareness of DR.The difference in the prevalence of DR and different stages of retinopathy in different studies from Nepal and from other parts of the world could have resulted due to the variation in diabetic patients attending these institutes. The prevalence of retinopathy could have been higher in the studies which included participants from the area with poor health facilities or the institutes where referral is more from primary and secondary institutes such as in our study.…”

Section: Disussionmentioning

confidence: 68%

“…This is similar to other studies elsewhere. 3,[12][13][14] In our study, majority of the patients were in sixth decade while other studies showed more patients in fifth decade of life. 13,14 Original Research Article…”

Section: Disussionmentioning

confidence: 74%

“…13,15 We found 29% of the patients with DR, which was similar to study done by R Maskey et al 16 which showed DR in 27.7%. Meanwhile, a study done by Paudyal G et al 12 showed diabetes retinopathy in19.4%.Varying prevalence has been seen in different studies in Nepal. High prevalence, upto 78% was seen in a study by R Thapa etal.…”

Section: Disussionmentioning

confidence: 96%

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The prevalence of Diabetic Retinopathy in a Tertiary Centre in Western Region, Nepal

Pun¹,

Tuladhar²,

Upadhyaya³

et al. 2020

J. Gandaki Med. Coll. Nepal

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Background: Diabetes mellitus is a multisystem disease. It has multiple complications like retinopathy, neuropathy, nephropathy, diabetes ketoacidosis, and stroke. Diabetes retinopathy (DR) is one of the blinding complications of diabetes. This study was done to find out the prevalence of diabetic retinopathy among diabetic patients attending in the outpatient department (OPD) of internal medicine, Gandaki Medical College and Teaching Hospital (GMCTHRC), Pokhara, Nepal. Materials and Methods: A hospital based cross-sectional study was performed among the 200 diabetes mellitus patients attending in the medicine OPD from 15th December 2017 to 15thDecember 2018. They were referred to eye OPD of GMC. The detailed eye examination including fundus evaluation under mydriasis was done to all the patients. The diagnosis of DR was graded using the Early Treatment Diabetic Retinopathy Study classification (ETDRS). Patients having hypertension and other retinal diseases were excluded from the study. Data analysis was done using statistical package for social sciences (SPPS) version 11.20. Results: The mean age of the patients was 63.02 ±11.8 years. In our study 60.5% of the patients were male and 39.5% were female. Diabetes retinopathy was seen in 29.5% patients, of which non proliferative diabetes retinopathy (NPDR) was present in 19.5%, proliferative diabetes retinopathy (PDR) in 9.5% and 0.5% had diabetes maculopathy. Conclusion: The prevalence of DR is quite significant in the people with diabetes. Early diagnosis and management of retinopathy will help to avoid blindness due to the diabetic retinopathy.

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Section: Disussionmentioning

confidence: 68%

Section: Disussionmentioning

confidence: 74%

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The prevalence of Diabetic Retinopathy in a Tertiary Centre in Western Region, Nepal

Pun¹,

Tuladhar²,

Upadhyaya³

et al. 2020

J. Gandaki Med. Coll. Nepal

View full text Add to dashboard Cite

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“…Our study is similar to other studies where, in newly diagnosed type 2 DM participants, retinopathy occurred in 31(15.81%) of cases in a hospital-based study in Pakistan. 19 In another retrospective review of all clinical records from the initial presentations of diabetic patients at the Tilganga Institute of Ophthalmology (TIO) from 2012 to 2014, 19.4% at the time of initial presentation had DR among which, 1305(14.7%) of which had NPDR, while 617(6.9%) demonstrated DME and 409(4.6%) demonstrated PDR. 20 If we see the population-based study, observational population-based based on fundus photograph study researchers have observed up to 13% of individuals with type 2 diabetes have DR at the time of diagnosis.…”

Section: Resultsmentioning

confidence: 99%

Diabetic retinopathy in patients with newly diagnosed type 2 diabetes mellitus

Sharma,

Mahat,

Maharjan

et al. 2023

J Patan Acad Health Sci

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Introduction: Diabetic retinopathy (DR) is the leading cause of visual impairment worldwide including Nepal and studies from populations have shown that up to 10% of diabetic patients have vision-threatening DR, with up to 5% requiring treatment at this initial visit. Within this context, this study aims to evaluate the presence of DR in newly diagnosed diabetic patients, presenting in the outpatient department of ophthalmology, at Patan Academy of Health Sciences. Method: It is a retrospective cross-sectional study carried out in referred cases of newly diagnosed type 2 Diabetes Mellitus (DM) from January 2021 to December 2022. Information regarding age, gender, Body Mass Index (BMI), blood pressure (BP), Triglyceride (TG), proteinuria, and findings of fundus evaluation were extracted from the record maintained in the Department of Ophthalmology. Result: Out of 102 patients with mean age of 49.1±13.6 y, 14(13.73%) had DR, 11(10.8%) had mild Non-proliferative Diabetic Retinopathy (NPDR) and three (2.9%) had moderate NPDR. There was female predominance 56(54.9%), 50(49%) patients were overweight or obese (BMI≥25 kg/m2), 15(14.7%) patients had proteinuria and 28(27.5%) had fasting hypertriglyceridemia and additional ocular anomaly was identified in 33(32.4%) patients. Conclusion: Diabetic retinopathy is already present in significant proportion of newly diagnosed type 2 DM patients. Routine screening for DR at the time of diagnosis can improve ocular outcomes in newly diagnosed diabetics with targeted early treatment. Future research should evaluate this in wider population to generate guidelines for need of mandatory eye evaluation at diagnosis.

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“…A retrospective review done by Poudyal et. Al in a tertiary hospital of Nepal found that the prevalence of DR among patients with DM was 19.4% 14 .…”

Section: Introductionmentioning

confidence: 99%

Investigating Diabetic Retinopathy (DR) among individuals with Type 2 Diabetes Mellitus (T2DM)

Roshan Bhandari,

Ram Bahadur KC,

Bijay G C

et al. 2023

World J. Adv. Res. Rev.

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Background: Diabetic retinopathy (DR) is a sight-threatening complication of type 2 diabetes mellitus (T2DM). Understanding its occurrence and associated factors is crucial for prevention and management. This study aimed to investigate DR in T2DM patients and identify relevant factors. Methods: A 14-month hospital-based cross-sectional study was conducted at Bir Hospital, Kathmandu. Sixty T2DM patients were included, undergoing ocular examinations and fundus evaluations at Nepal Eye Hospital. DR severity was graded using the Early Treatment Diabetic Retinopathy Study (ETDRS) criteria. HbA1C levels, fasting, and postprandial blood sugar were measured. Statistical analysis included chi-square test, t-test, and logistic regression. Results: DR patients had a lower mean age (55.57±9.79 years) compared to non-DR patients (58.00±12.038 years, p=0.12). Age inversely correlated with severe DR (aOR=0.94, p=0.02). Longer diabetes duration increased DR likelihood (aOR=1.23, p=0.001) and severe DR risk (aOR=1.2, p<0.0001). Mean HbA1c was higher in DR patients (8.22±1.61%) compared to non-DR patients (7.48±1.59%, p=0.08), with marginal significance (aOR=1.44, p=0.09). Postprandial blood sugar was associated with DR (aOR=1.01, p=0.033), while fasting blood sugar was not significant. Hypertension was not associated with DR (p=0.89). Conclusion: This study reveals higher prevalence and severity of DR with longer diabetes duration. Postprandial blood sugar showed significant association with DR, while fasting blood sugar did not. HbA1c's relationship with DR was marginally significant. Effective glycemic control and regular DR screening are crucial in T2DM patients.

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Prevalence and severity of diabetic retinopathy among diabetic patients presenting to a tertiary eye hospital in Nepal

Cited by 9 publications

References 13 publications

The prevalence of Diabetic Retinopathy in a Tertiary Centre in Western Region, Nepal

The prevalence of Diabetic Retinopathy in a Tertiary Centre in Western Region, Nepal

Diabetic retinopathy in patients with newly diagnosed type 2 diabetes mellitus

Investigating Diabetic Retinopathy (DR) among individuals with Type 2 Diabetes Mellitus (T2DM)

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