A study to investigate on the prevalence of dermatological lesions in patients with diabetic retinopathy
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 10, Pages 3697-3702
AbstractAim: The purpose of this study was to investigate on the prevalence of dermatological lesions in patients with diabetic retinopathy.
Material and methods: This cross sectional study was done the Department of Ophthalmology, Nalanda Medical College and Hospital, Patna, Bihar, India, for 12 months. 100 patients with diabetic retinopathy having diabetes mellitus of at least 5 years duration, aged between 35-65 years, were included in this study. The dermatological examination was done by a dermatologist under proper day light and if needed, using hand held magnifying lens. Examination of the retina was done by an Ophthalmologist using indirect ophthalmoscopy of dilated fundus, fundus photo, fundus fluorescein angiography and optical coherence tomography of the macula.
Results: 100 patients who had DR were included in the study. The mean age was 57.62(SD 5.87) years. There was a slight female preponderance with 41 males (41%) and 59 females (59%) among the 100 patients. Of the 100 diabetic patients included in this study, 9(9%) had Very Mild Non Proliferative Diabetic Retinopathy (NPDR), 32(32%) had Mild NPDR, 35(35%) had Moderate NPDR, 11(11%) had Severe NPDR, 13(13%) had Proliferative Diabetic Retinopathy (PDR) and 40(40%) had Clinically Significant Macular Edema (CSME). 32 patients (32%) were on Oral hypoglycaemic agents (OHA), 17(17%) were on Insulin and 51(51%) were on both OHA & Insulin. Only 40(40%) out of the 100 patients had good control of DM. 45(45%) out of 100 patients had Systemic Hypertension (HTN). The prevalence is being 83%. Dermatological lesions among poor glycemic control DM patients had a prevalence of 53% which was higher as compared to 33% among good glycemic control DM patients.
Conclusion: Prevalence of Dermatological lesions in Diabetic Retinopathy patients was 83%, the most common being Diabetic Dermopathy (shin spots) which was 41%.
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