Prevalence of Diabetic Retinopathy in Diabetic Patients with Five Years’ Duration Presenting in Eye OPD Nishtar Hospital, Multan.

Abstract

Purpose: To find out the prevalence of diabetic retinopathy in diabetic patients with five years duration of disease presenting to eye OPD, Nishtar Hospital Multan. Material and methods: A prospective study was conducted at Ophthalmology department, Nishtar Medical College and Hospital, Multan. Duration of disease was eleven months starting from 1^st February, 2013 to 31^st December, 2013. A total of 223 patients with at least five years duration of diabetes were selected. Based upon findings, eyes were classified according to ETDRS study as having as mild to moderate NPDR, severe to very severe NPDR, Early to high risk PDR, advanced PDR and CSME with and without PDR. Results: The mean age of patients with DR was 53.45+9.74. Most of the patients (71.30%) belonged to age group of 41-60 years. Male: female was 1:1.53. We also found out the relationship of DR to duration of DM. It showed that it increases with duration and was 92.31% after 15 years of disease. Main results of our study showed that 26.90% patients had no DR, 27.35% had mild to moderate NPDR and 2.24% had severe to very severe NPDR. Early to high risk PDR was found in 6.73% patients and advanced PDR was seen in 13.90% of patients. 19.73% patients presented with CSME with NPDR and 3.14% patients with CSME with PDR. Conclusion: DR is more common in females and in age group of 41-60 years. Mild to moderate NPDR was most common presentation in our study.