Diabetic retinopathy among Omanis: Prevalence and clinical profile

PURPOSE: The aim of this study is to describe the prevalence, severity and clinical profile of diabetic retinopathy (DR) among Omani diabetic patients attending a tertiary care hospital. MATERIALS AND METHODS: This is a retrospective study involving the record review of diabetic patients attending t...

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Main Authors: Puspalata Agroiya, Abdul Hakeem Alrawahi, Fathimabeebi Pambinezhuth, Noor Bader Al Busaidi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Oman Journal of Ophthalmology
Subjects:
Online Access:http://www.ojoonline.org/article.asp?issn=0974-620X;year=2020;volume=13;issue=2;spage=76;epage=83;aulast=Agroiya
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author Puspalata Agroiya
Abdul Hakeem Alrawahi
Fathimabeebi Pambinezhuth
Noor Bader Al Busaidi
author_facet Puspalata Agroiya
Abdul Hakeem Alrawahi
Fathimabeebi Pambinezhuth
Noor Bader Al Busaidi
author_sort Puspalata Agroiya
collection DOAJ
description PURPOSE: The aim of this study is to describe the prevalence, severity and clinical profile of diabetic retinopathy (DR) among Omani diabetic patients attending a tertiary care hospital. MATERIALS AND METHODS: This is a retrospective study involving the record review of diabetic patients attending the diabetes retina clinic of the National Diabetes and Endocrine Centre in the period between June 2015 and May 2016. Retinal evaluation of 442 native patients was conducted using direct ophthalmological examination and digital photography. DR was graded using the Early Treatment DR Study criteria. The statistical analysis was conducted using SPSS, version 20. RESULTS: The estimated total prevalence of DR was 31% (95% confidence interval: 26.6–35.3). Mild nonproliferative diabetic retinopathy (NPDR) constitutes 21.3%, while moderate-to-severe NPDR and proliferative diabetic retinopathy constitute 4.5% and 5.2%, respectively. The prevalence of vision-threatening diabetic retinopathy (VTDR) and diabetic maculopathy was 15.4% and 13.3%, respectively. Retinopathy was significantly associated with age, diabetes duration, Type 2 diabetes mellitus, coexisting comorbidities or complications, systolic blood pressure, glycated hemoglobin (HbA1c), fasting blood sugar, triglycerides, and albumin/creatinine ratio. In the regression analysis, age (P = 0.02), duration (P < 0.001), and HbA1c (P < 0.001) were independently associated with DR. CONCLUSIONS: The prevalence of DR and VTDR among Omani diabetics is high. Age, duration of diabetes, and HbA1c are the risk factors for the development of DR among Omanis. This emphasizes the importance of planning resources for different modalities of treatment of DR to face the future challenge.
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spelling doaj.art-0d832a243eff4304896e57fd374d57562022-12-22T02:38:54ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2020-01-01132768310.4103/ojo.OJO_225_2019Diabetic retinopathy among Omanis: Prevalence and clinical profilePuspalata AgroiyaAbdul Hakeem AlrawahiFathimabeebi PambinezhuthNoor Bader Al BusaidiPURPOSE: The aim of this study is to describe the prevalence, severity and clinical profile of diabetic retinopathy (DR) among Omani diabetic patients attending a tertiary care hospital. MATERIALS AND METHODS: This is a retrospective study involving the record review of diabetic patients attending the diabetes retina clinic of the National Diabetes and Endocrine Centre in the period between June 2015 and May 2016. Retinal evaluation of 442 native patients was conducted using direct ophthalmological examination and digital photography. DR was graded using the Early Treatment DR Study criteria. The statistical analysis was conducted using SPSS, version 20. RESULTS: The estimated total prevalence of DR was 31% (95% confidence interval: 26.6–35.3). Mild nonproliferative diabetic retinopathy (NPDR) constitutes 21.3%, while moderate-to-severe NPDR and proliferative diabetic retinopathy constitute 4.5% and 5.2%, respectively. The prevalence of vision-threatening diabetic retinopathy (VTDR) and diabetic maculopathy was 15.4% and 13.3%, respectively. Retinopathy was significantly associated with age, diabetes duration, Type 2 diabetes mellitus, coexisting comorbidities or complications, systolic blood pressure, glycated hemoglobin (HbA1c), fasting blood sugar, triglycerides, and albumin/creatinine ratio. In the regression analysis, age (P = 0.02), duration (P < 0.001), and HbA1c (P < 0.001) were independently associated with DR. CONCLUSIONS: The prevalence of DR and VTDR among Omani diabetics is high. Age, duration of diabetes, and HbA1c are the risk factors for the development of DR among Omanis. This emphasizes the importance of planning resources for different modalities of treatment of DR to face the future challenge.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2020;volume=13;issue=2;spage=76;epage=83;aulast=Agroiyadiabetic retinopathyomanprevalencerisk factorsvision-threatening diabetic retinopathy
spellingShingle Puspalata Agroiya
Abdul Hakeem Alrawahi
Fathimabeebi Pambinezhuth
Noor Bader Al Busaidi
Diabetic retinopathy among Omanis: Prevalence and clinical profile
Oman Journal of Ophthalmology
diabetic retinopathy
oman
prevalence
risk factors
vision-threatening diabetic retinopathy
title Diabetic retinopathy among Omanis: Prevalence and clinical profile
title_full Diabetic retinopathy among Omanis: Prevalence and clinical profile
title_fullStr Diabetic retinopathy among Omanis: Prevalence and clinical profile
title_full_unstemmed Diabetic retinopathy among Omanis: Prevalence and clinical profile
title_short Diabetic retinopathy among Omanis: Prevalence and clinical profile
title_sort diabetic retinopathy among omanis prevalence and clinical profile
topic diabetic retinopathy
oman
prevalence
risk factors
vision-threatening diabetic retinopathy
url http://www.ojoonline.org/article.asp?issn=0974-620X;year=2020;volume=13;issue=2;spage=76;epage=83;aulast=Agroiya
work_keys_str_mv AT puspalataagroiya diabeticretinopathyamongomanisprevalenceandclinicalprofile
AT abdulhakeemalrawahi diabeticretinopathyamongomanisprevalenceandclinicalprofile
AT fathimabeebipambinezhuth diabeticretinopathyamongomanisprevalenceandclinicalprofile
AT noorbaderalbusaidi diabeticretinopathyamongomanisprevalenceandclinicalprofile