DIABETIC RETINOPATHY IN PATIENTS WITH CHRONIC KIDNEY DISEASE

Objective: To study and compare the association between the grade of chronic kidney disease (CKD) and a set of parameters including: the stage of diabetic retinopathy (DR), random blood sugar level, insulin versus oral hypoglycemics use, and the history of receiving some ocular treatment for coexist...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Lubna Siddiq Mian, Muhammad Moin, Aurangzeb Afzal
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	chronic kidney disease diabetic retinopathy fundus photographs Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/2bf21c2e45ea44f2960c01b179d224dc
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:2bf21c2e45ea44f2960c01b179d224dc
record_format	dspace
spelling	oai:doaj.org-article:2bf21c2e45ea44f2960c01b179d224dc2021-11-12T04:03:10ZDIABETIC RETINOPATHY IN PATIENTS WITH CHRONIC KIDNEY DISEASE0030-96482411-8842https://doaj.org/article/2bf21c2e45ea44f2960c01b179d224dc2019-06-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3042/2276https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To study and compare the association between the grade of chronic kidney disease (CKD) and a set of parameters including: the stage of diabetic retinopathy (DR), random blood sugar level, insulin versus oral hypoglycemics use, and the history of receiving some ocular treatment for coexisting DR. Study Design: Cross sectional study. Place and Duration of Study: Lahore General Hospital, Lahore, form Sep 2016 to Jun 2017. Material and Methods: Our study included 100 patients diagnosed to have chronic kidney disease (CKD) due to diabetic nephropathy, these patients had fundus photographs, blood sugar random (BSR) check, and inquired about the nature of hypoglycemics used and about the history of receiving treatment for co-existing diabetic retinopathy. The fundus photographs were evaluated for the presence and the grade of diabetic retinopathy. The association between the grade of CKD and these four parameters was compared. Results: The mean age of our patients is 54.55 ± SD 11.647, 40% are male and 60% are female, 68% of the patients had any diabetic retinopathy, and 22% had severe disease including proliferative diabetic retinopathy (PDR) and advanced diabetic eye disease. Forty six percent had non-proliferative diabetic retinopathy (NPDR), 28% of the patients had random blood sugar levels less than 200 mg/dl and 72% had higher levels making poor glycemic control common among the participants. The stage of retinopathy advanced in accordance with the stage of CKD but could not reach a statistical significance (p=0.134). Conclusion: Patients with chronic kidney disease due to diabetes mellitus are at risk for diabetic retinopathy and need regular fundus examination and timely treatment to prevent blindness and visual impairment.Lubna Siddiq MianMuhammad MoinAurangzeb AfzalArmy Medical College Rawalpindiarticlechronic kidney diseasediabetic retinopathyfundus photographsMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 3, Pp 625-630 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic kidney disease diabetic retinopathy fundus photographs Medicine R Medicine (General) R5-920
spellingShingle	chronic kidney disease diabetic retinopathy fundus photographs Medicine R Medicine (General) R5-920 Lubna Siddiq Mian Muhammad Moin Aurangzeb Afzal DIABETIC RETINOPATHY IN PATIENTS WITH CHRONIC KIDNEY DISEASE
description	Objective: To study and compare the association between the grade of chronic kidney disease (CKD) and a set of parameters including: the stage of diabetic retinopathy (DR), random blood sugar level, insulin versus oral hypoglycemics use, and the history of receiving some ocular treatment for coexisting DR. Study Design: Cross sectional study. Place and Duration of Study: Lahore General Hospital, Lahore, form Sep 2016 to Jun 2017. Material and Methods: Our study included 100 patients diagnosed to have chronic kidney disease (CKD) due to diabetic nephropathy, these patients had fundus photographs, blood sugar random (BSR) check, and inquired about the nature of hypoglycemics used and about the history of receiving treatment for co-existing diabetic retinopathy. The fundus photographs were evaluated for the presence and the grade of diabetic retinopathy. The association between the grade of CKD and these four parameters was compared. Results: The mean age of our patients is 54.55 ± SD 11.647, 40% are male and 60% are female, 68% of the patients had any diabetic retinopathy, and 22% had severe disease including proliferative diabetic retinopathy (PDR) and advanced diabetic eye disease. Forty six percent had non-proliferative diabetic retinopathy (NPDR), 28% of the patients had random blood sugar levels less than 200 mg/dl and 72% had higher levels making poor glycemic control common among the participants. The stage of retinopathy advanced in accordance with the stage of CKD but could not reach a statistical significance (p=0.134). Conclusion: Patients with chronic kidney disease due to diabetes mellitus are at risk for diabetic retinopathy and need regular fundus examination and timely treatment to prevent blindness and visual impairment.
format	article
author	Lubna Siddiq Mian Muhammad Moin Aurangzeb Afzal
author_facet	Lubna Siddiq Mian Muhammad Moin Aurangzeb Afzal
author_sort	Lubna Siddiq Mian
title	DIABETIC RETINOPATHY IN PATIENTS WITH CHRONIC KIDNEY DISEASE
title_short	DIABETIC RETINOPATHY IN PATIENTS WITH CHRONIC KIDNEY DISEASE
title_full	DIABETIC RETINOPATHY IN PATIENTS WITH CHRONIC KIDNEY DISEASE
title_fullStr	DIABETIC RETINOPATHY IN PATIENTS WITH CHRONIC KIDNEY DISEASE
title_full_unstemmed	DIABETIC RETINOPATHY IN PATIENTS WITH CHRONIC KIDNEY DISEASE
title_sort	diabetic retinopathy in patients with chronic kidney disease
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/2bf21c2e45ea44f2960c01b179d224dc
work_keys_str_mv	AT lubnasiddiqmian diabeticretinopathyinpatientswithchronickidneydisease AT muhammadmoin diabeticretinopathyinpatientswithchronickidneydisease AT aurangzebafzal diabeticretinopathyinpatientswithchronickidneydisease
_version_	1718431280165552128

DIABETIC RETINOPATHY IN PATIENTS WITH CHRONIC KIDNEY DISEASE

Ejemplares similares