Research article
Volume 13 Issue 2 - 2022
Clinical and Epidemiological Characteristics of Patients with Diabetic Retinopathy Treated at the La Selva Ophthalmology Clinic
Jose Anibal Chavez Rodriguez*, Luis Felipe Arévalo Arévalo, Gioconda Lourdes Armas Herrera and Zully Alexandra Santa Cruz Pérez
Teaching and Research, Clínica Oftalmológica de la Selva, Peru
*Corresponding Author: Jose Anibal Chavez Rodriguez, Teaching and Research, Clínica Oftalmológica de la Selva, Peru.
Received: December 16, 2021; Published: January 31, 2022




Abstract

The aim of the study was to determine the clinical and epidemiological characteristics of the patients with diabetic retinopathy attended at La Selva Ophthalmological Clinic during the months of January to December 2019. The research design was of a descriptive applied and quantitative type, with a descriptive and transversal level, the sample population was made up of 82 patients, the technique used was the survey and the questionnaire was used as instrument. Results indicated that the patients ages with diabetic retinopathy varied between 36 to 87 years, 52.4% of which were men and 47.6% were women.

The majority were self-employed workers and housewives with 34.1%, whereas the lowest was a doctor with 1.2%. The district with the highest rate was Tarapoto. 39% of them were normal weight and 25.6% suffered from obesity grade 1. The evolution of diabetes was dispersed (from 1 to 47 years old). All patients had type 2 diabetes. A total of 54 patients did not report diabetes in their a family history whereas 28 patients reported it, 30.5% had advanced proliferative diabetic retinopathy and 6.1% moderate non-proliferative diabetic retinopathy. Likewise, 58.5% presented cataract and 15.9% glaucoma, 87.8% presented symptoms as blurred vision and 8.5% showed vision loss; 66.7% presented as comorbidity arterial hypertension and 7.4% have kidney involvement. In conclusion, the patients ages were variable, mostly male, most were self-employed workers, the highest rate of origin was Tarapoto. Most were normal weight. The evolution of DM was scattered and all patients presented DM 2. 54 patients did not report a family history, the most frequent degree of retinopathy was advanced proliferative diabetic retinopathy, most had history of cataract, blurred vision and IBP comorbidity.

 

Keywords: Diabetic Retinopathy; Diabetes; Clinical Features; Epidemiology; Degrees of Diabetic Retinopathy

References

  1. World Health Organization. Prevention of Blindness and Visual Impairment. Priority eye diseases (2006): 29.
  2. Wu L., et al. “Classification of diabetic retinopathy and diabetic macular edema”. World Journal of Diabetes6 (2013): 290.
  3. Retinopatía diabética, tercera causa de ceguera en el mundo (2016).
  4. Diabetes (2018).
  5. Raum P., et al. “Prevalence and cardiovascular associations of diabetic retinopathy and maculopathy: results from the Gutenberg Health Study”. PloS one 6 (2015): e0127188.
  6. Mesa EV and Alvira FJR. “Epidemiología de la retinopatía diabética y su relación con la diabetes”. Revista Colombiana de Endocrinología, Diabetes and Metabolismo 1 (2017): 12-15.
  7. Zheng Y., et al. “The worldwide epidemic of diabetic retinopathy”. Indian Journal of Ophthalmology 5 (2012): 428.
  8. Von-Bischhoffshausen FB and Castro FM. “Guía práctica clínica de retinopatía diabética para latinoamérica”. Revista Médico Oftalmólogo (2011).
  9. Villena JE., et al. “Prevalence of diabetic retinopathy in Peruvian patients with type 2 diabetes: results of a hospital-based retinal telescreening program”. Revista Panamericana de Salud Pública 30 (2011): 408-414.
  10. Alvarez BY., et al. “Retinopatía diabética: prevalencia y factores de riesgo asociados”. Revista Médica Carrionica 1 (2016): 3-14.
  11. Cluster Salud. El 5% de casos de ceguera en Perú se vinculan a diabetes (2015).
  12. Plataforma única digital del Estado Peruano.Uno de cada tres diabéticos desarrollará ceguera a causa de la retinopatía diabética (2018).
  13. M Gagmahg. “Características clínicas de la retinopatía diabética en pacientes del servicio de Oftalmología”. de Med. e inv 1.2 (2013): 40-48.
  14. Aumentando el acceso a la atención ocular en Perú (2018).
  15. Diario Medico. Dr. Carlos Wong: Diabetes Que Daña La Retina (2017).
  16. Como afecta la diabetes a la vista? (2018).
  17. S Rcmohscgv. “Factores de Riesgo de la retinopatía diabética en pacientes mayores de 60 años 39.9 (2014).
  18. Leyton D AND y Sepúlveda A. “Estudio de la prevalencia de la Retinopatía Diabética en pacientes diagnosticados con Diabetes Mellitus tipo II atendidos en el Centro de Atención Primaria de Salud Viña del Mar (CAPS), de la Dirección de Sanidad General de la Armada de Chile. (Tesis de pregrado). Valparaíso, Chile, Pontificia Universidad Católica de Valparaíso (2018): 59.
  19. Zhunaula S., “Factores asociados a la retinopatía en diabéticos de 40 a 79 años, desde una perspectiva familiar, Loja - 2016. (Tesis de posgrado). Loja, Ecuador, Universidad Nacional de Loja (2017): 25.
  20. Castillo J. “Prevalencia y factores de riesgo asociados a la retinopatía diabética en Cantabria”. Universidad de Cantabria (2016): 259.
  21. Flores K AND Jara K. “Factores de riesgo asociados a retinopatía diabética en pacientes con diabetes mellitus tipo 2 entre 30 y 60 años de edad, en el Hospital San Francisco de Quito durante el período de enero del 2013 a enero del 2015.Pontificia Universidad Católica de Ecuador (2016): 169.
  22. Encuesta Nacional de Salud y Nutrición de Medio Camino (ENSANUT MC). Informe final de resultados. México (2016).
  23. Loza M. “Caracterización de la retinopatía diabética en pacientes diabéticos en la Unidad Nacional de Oftalmología”. Universidad de San Carlos de Guatemala (2015): 55.
  24. Alatriste V. “Variables clínicas relacionadas a retinopatía diabética en la Unidad de Medicina Familiar Número 61. De Córdoba Veracruz. Universidad Veracruzana (2014): 120.
  25. Cruz-Bello P., et al. “Género y autocuidado de la diabetes mellitus tipo 2 en el Estado de México”. Revista Papeles de Población 80 (2014): 119-144.
  26. González-Gutiérrez A., et al. “Características clínicas de la retinopatía diabética en pacientes enviados al Servicio de Oftalmología”. Revista de Medicina e Investigación2 (2013).
  27. Redondo L., et al. “Asociación de la diabetes mellitus con el glaucoma crónico simple. Ciudad de la Habana”. Revista Cubana de Endocrinología3 (2013).
  28. Carrillo - Alarcón L., et al. “Prevalencia de retinopatía diabética en pacientes con diabetes mellitus tipo 2 en Hidalgo, México”. Revista Mexicana de Oftalmológía85 (2011): 142-147.
  29. Gilbert-Lucido M., et al. “Estudio epidemiológico de glaucoma en población mexicana”. Revista Mexicana de Oftalmología2 (2010): 86-90.
  30. The Wisconsin Epidemiologic. Study of Diabetic Retinopathy. Clinicaltrials 116.3 (2009).
  31. Blanco M., et al. “Catarata en el paciente adulto. Guía de práctica clínica actualizada”. España: Pfizer (2008).
  32. Santos – Bueso E., et al. “Prevalencia de retinopatía diabética en la ciudad de Badajoz 2002 (Proyecto Extremadura para prevención de la ceguera)”. Archivos de la Sociedad Española de Oftalmología3 (2007).
  33. Hernández J., et al. “Facoemulsificación en casos especiales. Instituto Cubano de Oftalmología “Ramón Pando Ferrer”, 2002-2005”. Revista Cubana Oftalmológica1 (2006).
  34. Osorio I., et al. “Factores de riesgo asociados a la retinopatía diabética en pacientes diabéticos tipo II”. Revista Cubana de Medicina General Integral. Ciudad de La Habana ene 22.1 (2006).
  35. Kanamori A., et al. “Diabetes has an additive effect on neural apoptosis in rat retina with chronically elevated intraocular pressure”. Current Eye Research1 (2009): 47-54.
  36. Licea M., et al. “Frecuencia y características clínicas de la retinopatía diabética en un grupo de personas con diabetes mellitus tipo 2 de A reciente”. Revista Cubana Endocrinología2 (2003).
  37. Levey A., et al. “National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification”. Annals of Internal Medicine2 (2003): 137-147.
  38. Klein R and Y Klein B. “Blood pressure control and diabetic retinopathy”. British Journal of Ophthalmology365 (2002): 365-367.
  39. Tielsch J., et al. “Diabetes, intraocular pressure and primary open angle glaucoma in the Baltimore Eye Survey”. Ophtalmology 102 (1995): 48-53.
  40. Klein B., et al. “Open-agle glaucoma and older-onset diabetes. The Beaver Dam Eye Study”. Ophthalmology 7 (1994): 1173-1177.
  41. Fuller J. “Hipertensión and diabetes. Epidemiologic aspects as a guide to management”. Journal of Cardiovascular Pharmacology and Therapeutics (1993): 563-566.
  42. Rodríguez- Villalobos E., et al. “Frecuencia y oportunidad del diagnóstico de retinopatía diabética”. Salud Pública de México (1992).
  43. Adrianzén R., et al. “Frecuencia y severidad de retinopatía diabética en pacientes con diabetes mellitus tipo 2 en el Instituto Regional de Oftalmología”. Revista Peruana de Medicina Experimental y Salud Pública2 (2019).
  44. Orrego B. “Prevalencia, diagnóstico y tratamiento de retinopatía diabética en pacientes del servicio de oftalmología Hospital Nacional Guillermo Almenara Irigoyen de febrero a noviembre 2017 Lima-Perú”. Universidad Privada San Juan Bautista (2018).
  45. Cárdenas L and Y Carbajal A. “Factores de riesgo asociados a retinopatía diabética en pacientes con diabetes mellitus tipo II en el Hospital Nacional Dos de Mayo en el periodo enero-diciembre del 2017”. Universidad Ricardo Palma (2018).
Citation: Jose Anibal Chavez Rodriguez., et al. “Clinical and Epidemiological Characteristics of Patients with Diabetic Retinopathy Treated at the La Selva Ophthalmology Clinic”. EC Ophthalmology 13.2 (2022): 76-85.

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