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Guidelines for the prevention and management of diabetic retinopathy and diabetic eye disease in India: A synopsis

Diabetes mellitus now affects 65 million adults in India, which is likely to increase to over 130 million by 2045. Vision impairment and blindness from diabetic retinopathy (DR) and diabetic macular edema (DME) will increase unless systems and services are put in place to reduce the incidence of DR...

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Autores principales: Gilbert, Clare, Gordon, Iris, Mukherjee, Chandoshi Rhea, Govindhari, Vishal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001190/
https://www.ncbi.nlm.nih.gov/pubmed/31937733
http://dx.doi.org/10.4103/ijo.IJO_1917_19
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author Gilbert, Clare
Gordon, Iris
Mukherjee, Chandoshi Rhea
Govindhari, Vishal
author_facet Gilbert, Clare
Gordon, Iris
Mukherjee, Chandoshi Rhea
Govindhari, Vishal
author_sort Gilbert, Clare
collection PubMed
description Diabetes mellitus now affects 65 million adults in India, which is likely to increase to over 130 million by 2045. Vision impairment and blindness from diabetic retinopathy (DR) and diabetic macular edema (DME) will increase unless systems and services are put in place to reduce the incidence of DR and DME, and to increase access to diagnosis and effective treatment. In India, sight-threatening DR (STDR) affects 5%–7% of people with diabetes, i.e., 3–4.5 million. This will increase as the number of people with diabetes increases and they live longer. The main risk factors for DR and DME are increasing duration of disease and poor control of hyperglycemia and hypertension. There is strong evidence that good control of hyperglycemia and hypertension reduce the incidence of STDR: interventions which lead to better self-management, i.e., a healthier diet and regular exercise, are required as well as taking medication as advised. There are highly effective and cost-effective treatments for STDR and up to 98% of blindness can be prevented by timely laser treatment and/or vitreous surgery. Given this increasing threat, the Queen Elizabeth Diamond Jubilee Trust endorsed the development of evidence-based guidelines for the prevention, detection, and management of DR and DME, and for cataract surgery in people with diabetes, specific to India as a component of the national DR project it has supported.
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spelling pubmed-70011902020-02-13 Guidelines for the prevention and management of diabetic retinopathy and diabetic eye disease in India: A synopsis Gilbert, Clare Gordon, Iris Mukherjee, Chandoshi Rhea Govindhari, Vishal Indian J Ophthalmol Perspective Diabetes mellitus now affects 65 million adults in India, which is likely to increase to over 130 million by 2045. Vision impairment and blindness from diabetic retinopathy (DR) and diabetic macular edema (DME) will increase unless systems and services are put in place to reduce the incidence of DR and DME, and to increase access to diagnosis and effective treatment. In India, sight-threatening DR (STDR) affects 5%–7% of people with diabetes, i.e., 3–4.5 million. This will increase as the number of people with diabetes increases and they live longer. The main risk factors for DR and DME are increasing duration of disease and poor control of hyperglycemia and hypertension. There is strong evidence that good control of hyperglycemia and hypertension reduce the incidence of STDR: interventions which lead to better self-management, i.e., a healthier diet and regular exercise, are required as well as taking medication as advised. There are highly effective and cost-effective treatments for STDR and up to 98% of blindness can be prevented by timely laser treatment and/or vitreous surgery. Given this increasing threat, the Queen Elizabeth Diamond Jubilee Trust endorsed the development of evidence-based guidelines for the prevention, detection, and management of DR and DME, and for cataract surgery in people with diabetes, specific to India as a component of the national DR project it has supported. Wolters Kluwer - Medknow 2020-02 2020-01-17 /pmc/articles/PMC7001190/ /pubmed/31937733 http://dx.doi.org/10.4103/ijo.IJO_1917_19 Text en Copyright: © 2020 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Perspective
Gilbert, Clare
Gordon, Iris
Mukherjee, Chandoshi Rhea
Govindhari, Vishal
Guidelines for the prevention and management of diabetic retinopathy and diabetic eye disease in India: A synopsis
title Guidelines for the prevention and management of diabetic retinopathy and diabetic eye disease in India: A synopsis
title_full Guidelines for the prevention and management of diabetic retinopathy and diabetic eye disease in India: A synopsis
title_fullStr Guidelines for the prevention and management of diabetic retinopathy and diabetic eye disease in India: A synopsis
title_full_unstemmed Guidelines for the prevention and management of diabetic retinopathy and diabetic eye disease in India: A synopsis
title_short Guidelines for the prevention and management of diabetic retinopathy and diabetic eye disease in India: A synopsis
title_sort guidelines for the prevention and management of diabetic retinopathy and diabetic eye disease in india: a synopsis
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001190/
https://www.ncbi.nlm.nih.gov/pubmed/31937733
http://dx.doi.org/10.4103/ijo.IJO_1917_19
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