Clinical Characteristics of Diabetic Retinopathy Patients in Eye Clinic of Zainoel Abidin General Hospital Banda Aceh, Indonesia

Authors

  • Lia Meuthia Zaini Syiah Kuala University Zainoel Abidin General Hospital
  • Sri Marlinda Syiah Kuala University Zainoel Abidin General Hospital
  • Annisa Meivira Budiman Padjadjaran University

Abstract

Background: Diabetic retinopathy (DR) is one of the most frequent microvascular compli-cations of diabetes mellitus (DM). The increasing number of diabetic retinopathy cases, amajor cause of blindness worldwide, is resulted from the increasing prevalence and life span of diabetes mellitus patients. In 2010, the number of diabetic retinopathy cases was 126.6 million and is predicted to increase to 191.0 million by 2030. The number of patients with visionthreatening diabeticretinopathy is also predicted to increase from 37.3 million to 56.3 million.
Subjects and Method: This study was a descriptive study conducted from January to February 2020.A sample of 98 patients was taken through fixed disease sampling. Research data was collected from electonic medical record of patients visiting Eye Clinic of Zainoel Abidin General Hospital Banda Aceh using total sampling method. The researchers used the triangulation method to complete some missing demographic data in the medical records, such as occupation, education, and monthly salary. Interviews were conducted directly with patients after they underwent an examination, and the results were included in the research form.
Results: 35 patients (35.7%) were aged 56-65 years and 26 patients (26.5%) worked as house-wives. The most common systemic complications were heart disorder found in 17 patients (17.3%). Proliferative diabetic retinopathy (PDR) was identified in 49 patients (50.0%), whereas 51 patients (52.0%) presented with diabetic macular edema (DME). 44 patients (44.9%) came with less than 6/60 visual acuity on the left eye.
Conclusion: Most patients presenting in Eye Clinic of Zainoel Abidin Hospital Banda Aceh were in worse condition (PDR) with visual acuity of less than 6/60. Therefore, educating and counseling diabetic patients to undergo routine screening by ophthalmologists are important in order to prevent loss of vision caused by diabetic retinopathy.

Keywords: clinical characteristic, diabetic retinopathy

Correspondence: Lia Meuthia Zaini. Department of Ophthalmology, Faculty of Medicine, Universitas Syiah Kuala/ Dr. Zainoel Abidin hospital. Jl. Tgk. Daud Deureueh 108, Banda Aceh, Indonesia. Email: liamzaini@unsyiah.ac.id. Mobile: +6282266891502.

Journal of Epidemiology and Public Health (2020), 05(04)

https://doi.org/10.26911/jepublichealth.2020.05.04.12

References

Al-maskari F, El-Sadig M, Al-Kaabi J, Afandi B, Nagelkerke N, Yeatts K (2013). Knowledge, attitude and practices of diabetic patients in the United Arab Emirates. PLoS ONE. 8(1): 1

Cheung N, Wong TY (2008). Diabetic retinopathy and systemic vascular complications. Progress in Retinal and Eye Research. 27: 161

DeFronzo R, Ferrannini E, Groop L, Henry R, Herman W, Holst J, Hu F, et al. (2015). Type 2 diabetes mellitus. Nat Rev Dis Primers. 1: 15019. https://doi.org/10.1038/nrdp.2015.19.

Ding J, Wong TY (2012). Current epidemiology of diabetic retinopathy and diabetic macular edema. Curr Diab Rep. 12: 346

Duh E J, Sun JK, Stitt AW (2017). Diabetic retinopathy: current understanding, mechanisms, and treatment strategies. JCI Insight. 2(14):1

Funakoshi M, Azami Y, Matsumoto H, Ikota A, Ito K, Okimoto H, Shimizu N, et al. (2017). Socioeconomic status and type 2 diabetes complications among young adult patients in Japan. PLoS ONE. 12(4): 1

Kawasaki R, Tanaka S, Tanaka S, Abe S, Sone H, Yokote K, Ishibashi S, et al. (2013). Risk of cardiovascular diseases is increased even with mild diabetic retinopathy the Japan Diabetes Complications Study. Ophthalmology. 120(3): 574-582. https://doi.org/10.1016/j.ophtha.2012.08.029.

Khandekar R, Harby SA, Harthy HA, La-watti JA (2010). Knowledge, attitude and practice regarding eye complications and care among Omani persons with diabetes A cross sectional study. Oman J Ophthalmol. 3(2): 60

Kollias AN, Ulbig MW (2010). Diabetic retinopathy early diagnosis and treatment. Dtsch Arztebl Int. 107(5): 75

Lee R, Wong TY, Sabanayagam C(2015). Epidemiology of diabetic retinopathy, diabetic macular edema and related vision loss. Eye and Vision. 2(17): 1

Liu Y, Yang J, Tao L, Lv H, Jiang X, Zhang M, Li X (2017). Risk factors of diabetic retinopathy and sight-threatening diabetic retinopathy: a cross-sectional study of 13 473 patients with type 2 diabetes mellitus in mainland China. BMJ Open. 7: 1

Nentwich MM, Ulbig MW (2015). Diabetic retinopathy-ocular complications of diabetes mellitus.World Journal of Diabetes. 6(3):489

Petrella RJ, Blouin J, Davies B, Barbeau M (2012). Prevalence, demographics, and treatment characteristics of visual impairment due to diabetic macular edema in a representative Canadian cohort. J Ophthalmol. 159167. https://dx.doi.org/10.1155%2F2012%2F159167.

Sayin N, Kara N, Pekel G (2015). Ocular complications of diabetes mellitus. World J Diabetes. 6(1): 92

Tajunisah I, Wong PS, Tan LT, Rokiah P, Reddy SC (2011). Awareness of eye complications and prevalence of retinopathy in the first visit to eye clinic among type 2 diabetic patients. Int J Ophthalmol. 4(5): 519

Tao X, Li J, Zhu X, Zhao B, Sun J, Ji L, Hu D, et al. (2016). Association between socioeconomic status and metabolic control and diabetes complications: a cross-sectional nationwide study in Chinese adults with type 2 diabetes mellitus.Cardiovas Diabetol.

(61): 1

Wat N, Wong R LM, Wong IYH (2016). Associations between diabetic retinopathy and systemic risk factors. Hong Kong Med J. 22(6): 589

Zheng Y, He M, Congdon N (2012). The worldwide epidemic of diabetic retinopathy. Indian Journal of Ophthalmology. 60(5):428-431. https://doi.org/10.4103/0301-4738.100542.

Downloads

Published
2020-10-16

Issue
Vol. 5 No. 4 (2020)

Section
flow-chart-line Articles

How to Cite
Zaini, L. M., Marlinda, S., & Budiman, A. M. (2020). Clinical Characteristics of Diabetic Retinopathy Patients in Eye Clinic of Zainoel Abidin General Hospital Banda Aceh, Indonesia. Journal of Epidemiology and Public Health, 5(4), 499–507. Retrieved from https://jepublichealth.com/index.php/jepublichealth/article/view/340