Spectrum of eye disorders in diabetes (SPEED) in India: Eye care facility based study. Report # 1. Eye disorders in people with type 2 diabetes mellitus

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dc.contributor.authorDas, Ten_US
dc.contributor.authorBehera, UCen_US
dc.contributor.authorBhattacharjee, Hen_US
dc.contributor.authorGilbert, Cen_US
dc.contributor.authorMurthy, GVen_US
dc.contributor.authorRajalakshmi, Ren_US
dc.contributor.authorPant, HBen_US
dc.contributor.authorShukla, Ren_US
dc.date.accessioned2020-04-10T02:07:50Z
dc.date.available2020-04-10T02:07:50Z
dc.date.issued2020-02
dc.description.abstractPurpose: To document the spectrum of eye diseases in people with type 2 diabetes mellitus (T2DM) reporting to large eye care facilities in India. Methods: The selection of eye care facilities was based on the zone of the country and robustness of the programs. Only people with known T2DM certified by internist, or taking antidiabetes medications, or referred for diabetes related eye diseases were recruited. The analysis included the demographic characteristics, systemic associations, ocular comorbidities, and visual status. Results: People (11,182) with T2DM were recruited in 14 eye care facilities (3 in north, 2 in south central, 4 in south, 2 in west, and 3 in east zone); two were government and 12 were non-government facilities. Hypertension was the commonest systemic association (n = 5500; 49.2%). Diabetic retinopathy (n = 3611; 32.3%) and lens opacities (n = 6407; 57.3%) were the common ocular disorders. One-fifth of eyes (n = 2077; 20.4%) were pseudophakic; 547 (5.4%) eyes had glaucoma and 277 (2.5%) eyes had retinal vascular occlusion. At presentation, 4.5% (n = 502) were blind (visual acuity <3/60 in the better eye) and 9.6% (n = 1077) had moderate to severe visual impairment (visual acuity <6/18-->3/60 in the better eye). Conclusion: People with T2DM presenting at eye clinics in India have high rates of diabetic retinopathy and vision loss. Cataract is a very common occurrence. Advocacy, infrastructure strengthening, and human resource development are the key to address the growing threats of T2DM and eye care in India.en_US
dc.identifier.affiliationsSrimati Kanuri Santamma Centre for Vitreoretinal diseases, L V Prasad Eye Institute, Hyderabad, Indiaen_US
dc.identifier.affiliationsDepartment of Retina and Vitreous, L V Prasad Eye Institute, Bhubaneswar, Odisha, Indiaen_US
dc.identifier.affiliationsDepartment of Retina and Vitreous, Sri Sankaradeva Nethralaya, Guwahati, Indiaen_US
dc.identifier.affiliationsLondon School of Hygiene and Tropical Medicine, London, UKen_US
dc.identifier.affiliationsIndian Institute of Public Health, Public Health Foundation of India, Hyderabad, Indiaen_US
dc.identifier.affiliationsDepartment of Ophthalmology, Dr. Mohan's Diabetes Specialities Centre and Madras Diabetes Research Foundation, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.citationDas T, Behera UC, Bhattacharjee H, Gilbert C, Murthy GV, Rajalakshmi R, Pant HB, Shukla R. Spectrum of eye disorders in diabetes (SPEED) in India: Eye care facility based study. Report # 1. Eye disorders in people with type 2 diabetes mellitus. Indian Journal of Ophthalmology. 2020 Feb; 68(13): 16-20en_US
dc.identifier.issn0301-4738
dc.identifier.issn1998-3689
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/197929
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber13en_US
dc.relation.volume68en_US
dc.source.urihttps://dx.doi.org/10.4103/ijo.IJO_33_19en_US
dc.subjectClinic populationen_US
dc.subjectdiabetesen_US
dc.subjecteye disordersen_US
dc.subjectIndiaen_US
dc.titleSpectrum of eye disorders in diabetes (SPEED) in India: Eye care facility based study. Report # 1. Eye disorders in people with type 2 diabetes mellitusen_US
dc.typeJournal Articleen_US
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