Diabetic Retinopathy in Type 2 Diabetes Mellitus Patients Attending the Diabetic Clinic of the University of Gondar Hospital, Northwest Ethiopia
Objective. To investigate the level of diabetic retinopathy in type 2 diabetes (T2DM) patients attending the University of Gondar Hospital (UGH) Diabetic Clinic, Northwest Ethiopia. Methods. An audit was carried out involving a total of 739 T2DM patients attending at the diabetic clinic of UGH. They...
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| Format: | Article |
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Wiley
2021-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2021/6696548 |
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| author | Asamere Tsegaw Shitaye Alemu Abere Dessie Christopher C. Patterson Eldryd H. O. Parry David I. W. Phillips Elisabeth R. Trimble |
| author_facet | Asamere Tsegaw Shitaye Alemu Abere Dessie Christopher C. Patterson Eldryd H. O. Parry David I. W. Phillips Elisabeth R. Trimble |
| author_sort | Asamere Tsegaw |
| collection | DOAJ |
| description | Objective. To investigate the level of diabetic retinopathy in type 2 diabetes (T2DM) patients attending the University of Gondar Hospital (UGH) Diabetic Clinic, Northwest Ethiopia. Methods. An audit was carried out involving a total of 739 T2DM patients attending at the diabetic clinic of UGH. They represented approximately 90% and 50% of all T2DM patients under regular review at the urban and rural diabetic clinics of UGH, respectively. All were supervised by the same clinical team for a long period. Eye examinations were performed for visual acuity, cataract, and retinal changes (retinal photography and slit-lamp biomicroscopy). Body mass index (BMI) and HbA1c levels were measured. The presence or absence of hypertension was recorded. Results. Men constituted 41.5% of the group, the mean age at diagnosis of T2DM was 50.4 years, and 50.2% were hypertensive. The BMI was 25.0 ± 4.1 kg/m2, and HbA1c was 7.75 ± 1.63% (61.2 ± 17.8 mmol/mol) (mean ± SD, for BMI and HbA1c)). Severe visual impairment/blindness was reported in 10.6%, 15.2% had cataract, 16.0% had retinopathy, and 11.1% had maculopathy. The prevalence of retinopathy increased with time from diagnosis of T2DM (chi-square for trend, p<0.001) and with increasing HbA1c level (chi-square for trend, p=0.03). Conclusion. These results compare well with the most recent results in well-equipped, wealthier regions of the world and show the importance of stable healthcare infrastructure for chronic-disease management. |
| format | Article |
| id | doaj-art-71423889702145788c1ef0e1b81ab614 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-71423889702145788c1ef0e1b81ab6142025-02-03T01:29:21ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/66965486696548Diabetic Retinopathy in Type 2 Diabetes Mellitus Patients Attending the Diabetic Clinic of the University of Gondar Hospital, Northwest EthiopiaAsamere Tsegaw0Shitaye Alemu1Abere Dessie2Christopher C. Patterson3Eldryd H. O. Parry4David I. W. Phillips5Elisabeth R. Trimble6Department of Ophthalmology, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Internal Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Internal Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCentre for Public Health, Queen’s University Belfast, Belfast, UKLondon School of Hygiene and Tropical Medicine and Tropical Health Education Trust, London, UKMRC Life Course Epidemiology Unit, University of Southampton, Southampton, UKCentre for Public Health, Queen’s University Belfast, Belfast, UKObjective. To investigate the level of diabetic retinopathy in type 2 diabetes (T2DM) patients attending the University of Gondar Hospital (UGH) Diabetic Clinic, Northwest Ethiopia. Methods. An audit was carried out involving a total of 739 T2DM patients attending at the diabetic clinic of UGH. They represented approximately 90% and 50% of all T2DM patients under regular review at the urban and rural diabetic clinics of UGH, respectively. All were supervised by the same clinical team for a long period. Eye examinations were performed for visual acuity, cataract, and retinal changes (retinal photography and slit-lamp biomicroscopy). Body mass index (BMI) and HbA1c levels were measured. The presence or absence of hypertension was recorded. Results. Men constituted 41.5% of the group, the mean age at diagnosis of T2DM was 50.4 years, and 50.2% were hypertensive. The BMI was 25.0 ± 4.1 kg/m2, and HbA1c was 7.75 ± 1.63% (61.2 ± 17.8 mmol/mol) (mean ± SD, for BMI and HbA1c)). Severe visual impairment/blindness was reported in 10.6%, 15.2% had cataract, 16.0% had retinopathy, and 11.1% had maculopathy. The prevalence of retinopathy increased with time from diagnosis of T2DM (chi-square for trend, p<0.001) and with increasing HbA1c level (chi-square for trend, p=0.03). Conclusion. These results compare well with the most recent results in well-equipped, wealthier regions of the world and show the importance of stable healthcare infrastructure for chronic-disease management.http://dx.doi.org/10.1155/2021/6696548 |
| spellingShingle | Asamere Tsegaw Shitaye Alemu Abere Dessie Christopher C. Patterson Eldryd H. O. Parry David I. W. Phillips Elisabeth R. Trimble Diabetic Retinopathy in Type 2 Diabetes Mellitus Patients Attending the Diabetic Clinic of the University of Gondar Hospital, Northwest Ethiopia Journal of Ophthalmology |
| title | Diabetic Retinopathy in Type 2 Diabetes Mellitus Patients Attending the Diabetic Clinic of the University of Gondar Hospital, Northwest Ethiopia |
| title_full | Diabetic Retinopathy in Type 2 Diabetes Mellitus Patients Attending the Diabetic Clinic of the University of Gondar Hospital, Northwest Ethiopia |
| title_fullStr | Diabetic Retinopathy in Type 2 Diabetes Mellitus Patients Attending the Diabetic Clinic of the University of Gondar Hospital, Northwest Ethiopia |
| title_full_unstemmed | Diabetic Retinopathy in Type 2 Diabetes Mellitus Patients Attending the Diabetic Clinic of the University of Gondar Hospital, Northwest Ethiopia |
| title_short | Diabetic Retinopathy in Type 2 Diabetes Mellitus Patients Attending the Diabetic Clinic of the University of Gondar Hospital, Northwest Ethiopia |
| title_sort | diabetic retinopathy in type 2 diabetes mellitus patients attending the diabetic clinic of the university of gondar hospital northwest ethiopia |
| url | http://dx.doi.org/10.1155/2021/6696548 |
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