PREVALENCE OF ADVANCED DIABETIC EYE DISEASE AND ITS ASSOCIATED RISK FACTORS IN TYPE 2 DIABETES MELLITUS

Abstract

Purpose:To determine the prevalence of advanced diabetic eye disease (ADED ) in patients with type 2 diabetes mellitus (DM) attending a tertiary eye care centre in eastern India and the risk factors associated with the disease. Methods: All patients of type 2 DM attending at the out-patient-department of a tertiary eye care centre, with any stage of diabetic retinopathy (DR) were recruited for this study. Examination was carried out with the help of slit-lamp biomicroscope with +90D lens, direct and indirect ophthalmoscopy, Snellen's chart, refraction trial lens and B-scan Ultrasonography. Medical records were reviewed and data were extracted. Results: Out of 200 patients with DR, 22 patients presented with advanced diabetic eye disease (ADED). Thus, the prevalence of ADED in this study was 11%. Those with increased age of presentation, long duration of DM, deranged HbA1c and lipid prole are at signicantly higher risk of presenting with ADED. Conclusion: Prevalence of 11 % of ADED in patients with DM attending a tertiary eye care centre shows that this condition continues to be a major social problem despite current knowledge about advanced DR.