Das, TBehera, UCBhattacharjee, HGilbert, CMurthy, GVRajalakshmi, RPant, HBShukla, R2020-04-102020-04-102020-02Das 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): 16-200301-47381998-3689http://imsear.searo.who.int/handle/123456789/197929Purpose: 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.Clinic populationdiabeteseye disordersIndiaJournal ArticleIndiaSrimati Kanuri Santamma Centre for Vitreoretinal diseases, L V Prasad Eye Institute, Hyderabad, IndiaDepartment of Retina and Vitreous, L V Prasad Eye Institute, Bhubaneswar, Odisha, IndiaDepartment of Retina and Vitreous, Sri Sankaradeva Nethralaya, Guwahati, IndiaLondon School of Hygiene and Tropical Medicine, London, UKIndian Institute of Public Health, Public Health Foundation of India, Hyderabad, IndiaDepartment of Ophthalmology, Dr. Mohan's Diabetes Specialities Centre and Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India