Relation of retinopathy in patients with type 2 diabetes mellitus to other diabetic complications

AIM: To investigate the correlation between systemic complications and diabetic retinopathy in the patients with type 2 diabetes mellitus.<p>METHODS: Seven hundred and two hospitalized patients with type 2 diabetes were included. All patients were divided into two groups according to with or w...

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Main Authors: Shu-Hui Chen, Qian-Li Meng, Min Zhang, Hai-Ke Guo, Qing-Yang Liu, Ying Cui, Da-Ju Li
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2016-02-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2016/2/201602030.pdf
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author Shu-Hui Chen
Qian-Li Meng
Min Zhang
Hai-Ke Guo
Qing-Yang Liu
Ying Cui
Da-Ju Li
author_facet Shu-Hui Chen
Qian-Li Meng
Min Zhang
Hai-Ke Guo
Qing-Yang Liu
Ying Cui
Da-Ju Li
author_sort Shu-Hui Chen
collection DOAJ
description AIM: To investigate the correlation between systemic complications and diabetic retinopathy in the patients with type 2 diabetes mellitus.<p>METHODS: Seven hundred and two hospitalized patients with type 2 diabetes were included. All patients were divided into two groups according to with or without retinopathy: NDR group and DR group. DR group was divided into group non-proliferative diabetic retinopathy(NPDR)and group proliferative diabetic retinopathy(PDR). The relation between DR and other complications of diabetes, including diabetic macrovascular complications, diabetic nephropathy(DN), diabetic peripheral neuropathy(DPN), peripheral vascular disease of diabetes mellitus(PVD), diabetic foot(DF), diabetic ketoacidosis(DKA), was analyzed.<p>RESULTS: The development of DR was related to hypertension, hyperlipemia, carotid atherosclerosis and plaque, lower extremity arteriosclerosis and plaque, DN, DPN, DF and PVD. PDR was closely associated with hypertension and DPN. <p>CONCLUSION: The prevalence of DR increased in the diabetic patients with systemic complications, especially, the increase of prevalence of PDR in the patients with hypertension and DPN. Vascular endothelial injury and microcirculatory disturbance are the common pathologic base for DR and other complications. Therefore, it is important to carry out the regular fundus examination in the diabetic patients, especially in those with systemic complication, in order to decrease the rate of blindness.
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spelling doaj.art-2591853ad71545cab41c7970a8a4bb2b2022-12-22T01:48:51ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232016-02-0116230931210.3980/j.issn.1672-5123.2016.2.30Relation of retinopathy in patients with type 2 diabetes mellitus to other diabetic complicationsShu-Hui Chen0Qian-Li Meng1Min Zhang2Hai-Ke Guo3Qing-Yang Liu4Ying Cui5Da-Ju Li6Department of Ophthalmology, Dongguan People's Hospital, Dongguan 523059, Guangdong Province, ChinaDepartment of Ophthalmology, Guangdong General Hospital, Guangdong Eye Institute, Guangdong Academy of Medical Sciences, Guangzhou 510080, Guangdong Province, ChinaDepartment of Ophthalmology, Dongguan People's Hospital, Dongguan 523059, Guangdong Province, ChinaAier Eye Hospital(Zhengzhou), Aier Ophthalmological College in Central South University, Zhengzhou 450003, Henan Province, ChinaDepartment of Ophthalmology, Dongguan People's Hospital, Dongguan 523059, Guangdong Province, ChinaDepartment of Ophthalmology, Guangdong General Hospital, Guangdong Eye Institute, Guangdong Academy of Medical Sciences, Guangzhou 510080, Guangdong Province, ChinaDepartment of Ophthalmology, Dongguan People's Hospital, Dongguan 523059, Guangdong Province, ChinaAIM: To investigate the correlation between systemic complications and diabetic retinopathy in the patients with type 2 diabetes mellitus.<p>METHODS: Seven hundred and two hospitalized patients with type 2 diabetes were included. All patients were divided into two groups according to with or without retinopathy: NDR group and DR group. DR group was divided into group non-proliferative diabetic retinopathy(NPDR)and group proliferative diabetic retinopathy(PDR). The relation between DR and other complications of diabetes, including diabetic macrovascular complications, diabetic nephropathy(DN), diabetic peripheral neuropathy(DPN), peripheral vascular disease of diabetes mellitus(PVD), diabetic foot(DF), diabetic ketoacidosis(DKA), was analyzed.<p>RESULTS: The development of DR was related to hypertension, hyperlipemia, carotid atherosclerosis and plaque, lower extremity arteriosclerosis and plaque, DN, DPN, DF and PVD. PDR was closely associated with hypertension and DPN. <p>CONCLUSION: The prevalence of DR increased in the diabetic patients with systemic complications, especially, the increase of prevalence of PDR in the patients with hypertension and DPN. Vascular endothelial injury and microcirculatory disturbance are the common pathologic base for DR and other complications. Therefore, it is important to carry out the regular fundus examination in the diabetic patients, especially in those with systemic complication, in order to decrease the rate of blindness.http://ies.ijo.cn/cn_publish/2016/2/201602030.pdfdiabetes mellitusdiabetic retinopathydiabetic complications
spellingShingle Shu-Hui Chen
Qian-Li Meng
Min Zhang
Hai-Ke Guo
Qing-Yang Liu
Ying Cui
Da-Ju Li
Relation of retinopathy in patients with type 2 diabetes mellitus to other diabetic complications
Guoji Yanke Zazhi
diabetes mellitus
diabetic retinopathy
diabetic complications
title Relation of retinopathy in patients with type 2 diabetes mellitus to other diabetic complications
title_full Relation of retinopathy in patients with type 2 diabetes mellitus to other diabetic complications
title_fullStr Relation of retinopathy in patients with type 2 diabetes mellitus to other diabetic complications
title_full_unstemmed Relation of retinopathy in patients with type 2 diabetes mellitus to other diabetic complications
title_short Relation of retinopathy in patients with type 2 diabetes mellitus to other diabetic complications
title_sort relation of retinopathy in patients with type 2 diabetes mellitus to other diabetic complications
topic diabetes mellitus
diabetic retinopathy
diabetic complications
url http://ies.ijo.cn/cn_publish/2016/2/201602030.pdf
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