Document Detail


Relationship between diabetic retinopathy severity and the timespan between the endocrinopathy diagnosis and the first ophthalmic examination.
MedLine Citation:
PMID:  20730280     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To investigate whether the time interval between type 2 diabetes mellitus (DM) diagnosis and the first fundoscopic examination is related with the presence and the severity of diabetic retinopathy (DR) observed.
METHODS: A survey of 105 type 2 DM patients referred to ophthalmologic evaluation in the "Hospital das Clinicas" (HC), University of São Paulo Medical School (USPMS).
RESULTS: Regarding classification of DR in the 105 patients, 15 (14.28%) did not show signs of DR, and 90 (85.72%) exhibited them on fundoscopy. Sixty patients underwent laser therapy, and 46.66% reported poor control of DM. Only 15.23% of DM patients were adequately screened for DR on the first year of their DM diagnosis. Among the 36 patients (34.30%) examined within five years of DM diagnosis, 58.33% did not present or demonstrate signs of mild DR and 22.20% of proliferative DR; 30 patients underwent an ophthalmologic examination after more than eleven years of DM diagnosis, 21.62% did not exhibit signs of DR and 59.46% were classified as proliferative DR.
CONCLUSION: This study showed a statistically significant relationship between the time interval from the diagnosis of type 2 DM and the first fundoscopic examination with the severity of DR.
Authors:
Rony Carlos Preti; Augusto Alves Lopes Motta; Otacílio de O Maia; Celso Morita; Vinícius Paganini Nascimento; Mário Luiz Ribeiro Monteiro; Walter Yukihiko Takahashi
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arquivos brasileiros de oftalmologia     Volume:  73     ISSN:  1678-2925     ISO Abbreviation:  Arq Bras Oftalmol     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-08-23     Completed Date:  2011-01-14     Revised Date:  2012-01-31    
Medline Journal Info:
Nlm Unique ID:  0400645     Medline TA:  Arq Bras Oftalmol     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  240-3     Citation Subset:  IM    
Affiliation:
University of São Paulo Medical School, São Paulo, SP, Brazil. rypreti@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Diabetes Mellitus, Type 2 / diagnosis*
Diabetic Retinopathy / diagnosis*,  surgery
Female
Fundus Oculi
Humans
Laser Coagulation
Male
Middle Aged
Ophthalmoscopy
Severity of Illness Index
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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