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Prevalence of diabetic retinopathy in Tehran province: a population-based study

BACKGROUND: To determine the prevalence and characteristics of diabetic retinopathy (DR) among Iranian patients with diabetes. METHODS: Design: population-based cross-sectional study. Participants: patients with diabetes aged 25 to 64 years in Tehran province, Iran. This survey was conducted from Ap...

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Autores principales: Javadi, Mohammad Ali, Katibeh, Marzieh, Rafati, Nasrin, Dehghan, Mohammad Hossein, Zayeri, Farid, Yaseri, Mehdi, Sehat, Mojtaba, Ahmadieh, Hamid
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2770536/
https://www.ncbi.nlm.nih.gov/pubmed/19835608
http://dx.doi.org/10.1186/1471-2415-9-12
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author Javadi, Mohammad Ali
Katibeh, Marzieh
Rafati, Nasrin
Dehghan, Mohammad Hossein
Zayeri, Farid
Yaseri, Mehdi
Sehat, Mojtaba
Ahmadieh, Hamid
author_facet Javadi, Mohammad Ali
Katibeh, Marzieh
Rafati, Nasrin
Dehghan, Mohammad Hossein
Zayeri, Farid
Yaseri, Mehdi
Sehat, Mojtaba
Ahmadieh, Hamid
author_sort Javadi, Mohammad Ali
collection PubMed
description BACKGROUND: To determine the prevalence and characteristics of diabetic retinopathy (DR) among Iranian patients with diabetes. METHODS: Design: population-based cross-sectional study. Participants: patients with diabetes aged 25 to 64 years in Tehran province, Iran. This survey was conducted from April to October 2007. The study sample was derived from the first national survey of risk factors for non-communicable disease. Diabetes mellitus was defined as a fasting plasma glucose of ≥ 7.0 mmol/l (126 mg/dl) or more, use of diabetic medications, or a physician's diagnosis of diabetes. All patients known to have diabetes underwent an eye examination by bio-microscope and indirect ophthalmoscope to check for any signs of DR through dilated pupils by + 78 lens. Participants were also interviewed and examined to determine their demographic characteristics, medical conditions and the regularity of their eye visits. RESULTS: Among 7989 screened patients, 759 (9.5%) had diabetes. Of them, 639 patients (84.2%) underwent eye examination. Five patients (0.7%) with media opacity were excluded. Of 634 examined patients with diabetes, 240 had some degree of diabetic retinopathy, and the overall standardized prevalence of any retinopathy was 37.0% (95% CI: 33.2-40.8), including 27.3% (95% CI: 23.7-30.8) (n = 175) with non-proliferative and 9.6% (95% CI: 7.3-11.9) (n = 65) with proliferative diabetic retinopathy. Clinically significant macular edema and vision-threatening retinopathy were detected in 5.8% (95% CI: 4.0-7.7) (n = 38) and 14.0% (95% CI: 11.3-16.7) (n = 95) of patients, respectively. Only 143 patients (22.6%) with diabetes had a history of regular eye examination. CONCLUSION: This study demonstrated a high prevalence and poor control of DR in Tehran province. This suggests the need for adequate prevention and treatment in patients with diabetes.
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spelling pubmed-27705362009-10-30 Prevalence of diabetic retinopathy in Tehran province: a population-based study Javadi, Mohammad Ali Katibeh, Marzieh Rafati, Nasrin Dehghan, Mohammad Hossein Zayeri, Farid Yaseri, Mehdi Sehat, Mojtaba Ahmadieh, Hamid BMC Ophthalmol Research Article BACKGROUND: To determine the prevalence and characteristics of diabetic retinopathy (DR) among Iranian patients with diabetes. METHODS: Design: population-based cross-sectional study. Participants: patients with diabetes aged 25 to 64 years in Tehran province, Iran. This survey was conducted from April to October 2007. The study sample was derived from the first national survey of risk factors for non-communicable disease. Diabetes mellitus was defined as a fasting plasma glucose of ≥ 7.0 mmol/l (126 mg/dl) or more, use of diabetic medications, or a physician's diagnosis of diabetes. All patients known to have diabetes underwent an eye examination by bio-microscope and indirect ophthalmoscope to check for any signs of DR through dilated pupils by + 78 lens. Participants were also interviewed and examined to determine their demographic characteristics, medical conditions and the regularity of their eye visits. RESULTS: Among 7989 screened patients, 759 (9.5%) had diabetes. Of them, 639 patients (84.2%) underwent eye examination. Five patients (0.7%) with media opacity were excluded. Of 634 examined patients with diabetes, 240 had some degree of diabetic retinopathy, and the overall standardized prevalence of any retinopathy was 37.0% (95% CI: 33.2-40.8), including 27.3% (95% CI: 23.7-30.8) (n = 175) with non-proliferative and 9.6% (95% CI: 7.3-11.9) (n = 65) with proliferative diabetic retinopathy. Clinically significant macular edema and vision-threatening retinopathy were detected in 5.8% (95% CI: 4.0-7.7) (n = 38) and 14.0% (95% CI: 11.3-16.7) (n = 95) of patients, respectively. Only 143 patients (22.6%) with diabetes had a history of regular eye examination. CONCLUSION: This study demonstrated a high prevalence and poor control of DR in Tehran province. This suggests the need for adequate prevention and treatment in patients with diabetes. BioMed Central 2009-10-16 /pmc/articles/PMC2770536/ /pubmed/19835608 http://dx.doi.org/10.1186/1471-2415-9-12 Text en Copyright © 2009 Javadi et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Javadi, Mohammad Ali
Katibeh, Marzieh
Rafati, Nasrin
Dehghan, Mohammad Hossein
Zayeri, Farid
Yaseri, Mehdi
Sehat, Mojtaba
Ahmadieh, Hamid
Prevalence of diabetic retinopathy in Tehran province: a population-based study
title Prevalence of diabetic retinopathy in Tehran province: a population-based study
title_full Prevalence of diabetic retinopathy in Tehran province: a population-based study
title_fullStr Prevalence of diabetic retinopathy in Tehran province: a population-based study
title_full_unstemmed Prevalence of diabetic retinopathy in Tehran province: a population-based study
title_short Prevalence of diabetic retinopathy in Tehran province: a population-based study
title_sort prevalence of diabetic retinopathy in tehran province: a population-based study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2770536/
https://www.ncbi.nlm.nih.gov/pubmed/19835608
http://dx.doi.org/10.1186/1471-2415-9-12
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