Browsing by Author "Abdullah, Omer Othman"

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    Diabetic Retinopathy Health Crises in Kurdistan Governorate-Iraq/Erbil
    (Ibn Sina Academy of Medieval Medicine & Sciences, 2020-03) Abdullah, Omer Othman
    Introduction: The diabetic blindness can be prevented by upto 90%, in the early stages of the disease. At the time ofdiagnosing type two, 21% of them have retinopathy. After 20years of diabetes; the retinopathy affects 60% of type 2 andapproximately all of type 1 diabetic population.Subjects and Methods: This retrospective study comprisedof 1784 diabetic patients. Their vision assessed according tothe international classification of controlling blindness as legallyblind (visual acuity=< 20/200) or socially blind. For thispurpose, the Snellen Eye Chart used at a fixed distance of 20feet. Patients were checked regularly when checkup missed;excluded from the study.Result: About 46% of the diabetic population did not knowwhen their diabetes started with a p-value 0.000, which is avery highly significant correlation. Regarding patientsinformation how to control their diabetes; 82% of them did notknow how to handle the illness, and 76% did not know thedietary restrictions with a very highly significant p-value, thecorrelation between them and legal blindness. About 84.1%presented with legal blindness. After many interventions,37.9% remained legal blindness, but 62.1 improved. While 6%became socially blinded. Around 43.9% were unable to buy theanti-vascular endothelial growth factor drugs, with a p-value= 0.000. About 87.2 % of patients did not perform HbA1Ctwo times per year with very highly significant with the legallyblind.Conclusion: Lack of education program, patient's informationabout the disease, non-referrals, economic crisis and theunavailability of the anti-vascular endothelial growth factor; allcollectively created a blinded diabetic population.