the prevalence of diabetic retinopathy in tehran province

نویسندگان

نسرین رفعتی

n rafati shahid beheshti university of medical sciencesپاسداران- بوستان نهم- بیمارستان لبافی نژاد- مرکز تحقیقات چشم محمدحسین دهقان

mh dehghan shahid beheshti university of medical sciencesپاسداران- بوستان نهم- بیمارستان لبافی نژاد- مرکز تحقیقات چشم محمدعلی جوادی

ma javadi shahid beheshti university of medical sciencesپاسداران- بوستان نهم- بیمارستان لبافی نژاد- مرکز تحقیقات چشم حمید سوری

h souri shahid beheshti university of medical sciencesپاسداران- بوستان نهم- بیمارستان لبافی نژاد- مرکز تحقیقات چشم فرید زائری

چکیده

purpose: to determine the prevalence and characteristics of retinopathy in diabetic residents of tehran province, iran during 2005. methods: this cross-sectional study was performed on 700 diabetic subjects who were recognized in a sample of 7500 individuals in the “risk factor evaluation for non-contagious diseases” project in i.r. of iran, 2005. all subjects were recalled to attend a predefined location for the study. all participants underwent systemic examination by an internist and a comprehensive eye examination including dilated funduscopy by a vitreoretinal specialist. results: overall 634 diabetic subjects with mean age of 59.3±12.0 (range 18-78 years) were studied. retinopathy was detected in 37.9% (95% confidence interval [ci], 34.1%-41.6%) including 72.9% (95%ci, 67.3%-78.5%) non-proliferative and 27.1% (95%ci, 21.5%-32.7%) proliferative diabetic retinopathy. the prevalence of bilateral blindness was 2.1% and 0.8% in diabetic patients with and without retinopathy, respectively (p<0.001). logistic regression revealed that diabetic retinopathy is associated with male gender (p=0.022), increased disease duration (p<0.001), diabetes control regimen (p<0.001) and presence of diabetic nephropathy (p=0.003). conclusion: regarding the high prevalence of diabetic retinopathy and the associated visual impair-ment, regular screening of diabetic patients for early detection of proliferative retinopathy and timely laser photocoagulation is highly recommended.

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جلد ۱۳، شماره ۲، صفحات ۱۶۶-۱۷۵

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