Relationship between diabetic retinopathy severity and the timespan between the endocrinopathy diagnosis and the first ophthalmic examination

Arquivos Brasileiros de Oftalmologia

Rony Carlos Preti²  Augusto Alves Lopes Motta¹  Otacílio De O. Maia Júnior¹  Celso Morita¹  Vinícius Paganini Nascimento¹  Mário Luiz Ribeiro Monteiro¹  Walter Yukihiko Takahashi¹ 

[1] ,University of São Paulo Medical SchoolSão Paulo SP ,Brazil

关键词: Diabetes mellitus;    Diabetic retinopathy;    Diabetes mellitus;    Retinopatia diabética;   

DOI  :  10.1590/S0004-27492010000300006

来源: SciELO

【 摘 要 】

Purpose: To investigate whether the time interval between type 2 diabetes mellitus (DM) diagnosis and the first fundoscopic examination is related with the presence and the severity of diabetic retinopathy (DR) observed. Methods: A survey of 105 type 2 DM patients referred to ophthalmologic evaluation in the "Hospital das Clinicas" (HC), University of São Paulo Medical School (USPMS). Results: Regarding classification of DR in the 105 patients, 15 (14.28%) did not show signs of DR, and 90 (85.72%) exhibited them on fundoscopy. Sixty patients underwent laser therapy, and 46.66% reported poor control of DM. Only 15.23% of DM patients were adequately screened for DR on the first year of their DM diagnosis. Among the 36 patients (34.30%) examined within five years of DM diagnosis, 58.33% did not present or demonstrate signs of mild DR and 22.20% of proliferative DR; 30 patients underwent an ophthalmologic examination after more than eleven years of DM diagnosis, 21.62% did not exhibit signs of DR and 59.46% were classified as proliferative DR. Conclusion: This study showed a statistically significant relationship between the time interval from the diagnosis of type 2 DM and the first fundoscopic examination with the severity of DR.

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