Diabetic retinopathy in patients presenting to the screening clinic of a tertiary care hospital in Pakistan.

Muhammad Ali Ayaz Saddiq, Munib Ur Rehman, Mudassar Fatima, Arif Hussain, Asad Aslam Khan, Tehseen Mahju, Amna Islam


Purpose: The purpose of this study is to assess the state of diabetic retinopathy in patients presenting at a tertiary care hospital in Pakistan. Methods: Clinical notes of 9854 patients diagnosed with Diabetes, presenting in the Outpatient department of Mayo Hospital Lahore from 2009 to 2014 and who were screened for diabetic eye disease, were reviewed. Fundus examination was carried out using fundus camera to detect signs and grade of diabetic retinopathy. Results: Out of patients with Insulin Dependent Diabetes Mellitus (IDDM) 5893(85.0%) patients had normal fundi while findings consistent with Non proliferative Diabetic Retinopathy (NPDR), Proliferative diabetic retinopathy (PDR) and Advanced Diabetic Eye Disease (ADED) were seen in 723 (10.4%), 39 (0.6%) and 279 (2.6%) eyes, respectively.  While in case of patients with Non- Insulin Dependent Diabetes Mellitus (NIDDM) 9869 (77.3%), had no abnormality in their fundi, while NPDR, PDR and ADED was seen in 1823 (14.3%), 60 (0.47%) and 1022 (8%) eyes, respectively. Overall out of a total of 19708 eyes, 15762 (79.9%) had no signs of diabetic retinopathy, 2546 (12.9%) had NPDR, 99 (0.50%) had PDR and 1201 (6%) eyes had ADED Conclusion: Conclusion: The results of our study substantiate the findings of previous researches carried out in Pakistan. Key words: Diabetic retinopathy,  Pakistan, Prevalence

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