Clinical Characteristics of Diabetic Retinopathy In Diabetes Mellitus Patients in Tempuran District, Karawang Regency, West Java
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diabetic retinopathy, diabetes mellitus, screening of DR
Abstract
Introduction: Diabetic retinopathy (DR) is a major diabetic microvascular complication, affects 1 in 3 person with Diabetes Mellitus (DM). DR remains a leading cause of severe, irreversible visual impairment, and blindness in working aged population worldwide. Screening, early detection and prompt treatment of Vision-Threatening Diabetic Retinopathy (VTDR) allow prevention of diabetes-related visual impairment. Poor access to eye health care in rural area may become a factor of increasing number of underdiagnosed of DR.
Objective: To identify characteristic of DR and its associated risk factor in primary health care in Tempuran, Karawang, West Java.
Methods: A cross-sectional study was conducted on participants who met the inclusion criteria and the fundus photograph was done to evaluate the retinal status. Demographic data, visual acuity, and other ocular comorbidities was also documented.
Results: A total of 57 participants with diabetes were examined for fundus photograph. Any DR, diabetic macular edema (DME), and VTDR in this study were found 54,4%, 14%, and 15,8% respectively. DR were found higher in participants with older age, women, shorter duration of diabetes, hyperglycemia, and hypertension.
Conclusion: This study identified the characteristic of DR in primary health care in Tempuran, Karawang, West Java. The results of this study may become a recommendation for periodic diabetes screening of DR in the region.
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