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- Title
Diabetic retinopathy pattern among Kurdish diabetic patients in the Kurdistan region of Iraq.
- Authors
Amin, Dere latif; Al-Zandi, Kawa Mohammed Mawlood
- Abstract
Background and objective: Diabetes has been reported to be quite prevalent all over the world. Blindness among diabetic patients has been reported to be related to diabetic retinopathy. By investigating diabetic patients attending the Sulaimani diabetic center, this study tries to specify the prevalence and diabetic retinopathy pattern among such patients. Method: Diabetic patients who were presented at the Sulaimani diabetic center were chosen for obtaining knowledge on biodata information of patients, level and duration of diabetes disease and also gaining knowledge on eye examination findings. The examination of eye fundus was conducted with Volk +90 diopter lens by means of slit lamp microscope. The retinopathy was classified through the International Clinical Disease Severity Scale for Diabetic Retinopathy. All collected data were analyzed by Statistical Package for the Social Sciences version 22. Results: A total of 393 patients consisting of 279 females and 114 males were examined. Their ages were ranged from 12 to 83 years with a mean of 56.1 years. About 7.6% of them were on insulin therapy, 69% took oral antihyperglycemic agents, 21.4% use a mixture of these therapies and the remaining 2% did not take any treatments. Based on the results of this study, 33.2% of the patients had retinopathy, such that 5.6%, 6.4%, 5.6% and 5.6% of them had mild, moderate, severe non proliferative and proliferative retinopathy, respectively. Moreover, a strong association was observed between increased HbA1c level of diabetic patients and their apparent retinopathy. In addition, the pathological condition of maculopathy was observed in 5.6% of diabetic patients. In about 44% of the diabetic patients, high blood pressure was observed, of whom 8.7% represented to have cardiovascular diseases. Conclusion: The outcomes of this study demonstrated that the prevalence rate of diabetic retinopathy (DR) with long duration among Iraqi Kurdish diabetic patients is high. Diabetic retinopathy could cause visual disability. On the other hand, diabetes would increase the possibility of blindness as a result of other eye diseases like glaucoma and cataracts. Consequently, for more precise diagnosis and also decreasing the happened damages due to diabetes a standardized screening program must be applied.
- Subjects
KURDISTAN; IRAQ; DIABETIC retinopathy; FUNDUS oculi; HYPERTENSION; EYE examination; PATHOLOGICAL laboratories; CARDIOVASCULAR diseases
- Publication
Revista Latinoamericana de Hipertension, 2019, Vol 14, Issue 6, p669
- ISSN
1856-4550
- Publication type
Article