Lima GV

Language: Spanish
References: 17
Page: 55-60
PDF size: 74.78 Kb.

ABSTRACT

Background: Timely detection and proper grading of diabetic retinopathy reduce visual deficiency. Aim: To identify the rate of diabetic patients with retinopathy in whom visual deficiency could be prevented. Method: Records of patients evaluated during retinopathy detection campaigns were reviewed, and the rate of retinopathy, non-proliferative retinopathy, proliferative retinopathy, macular edema and vitreous hemorrhage were identified. The most affected eye’s grade was considered when retinopathy was asymmetrical. The rate of patients with unfavorable prognosis and in those in which treatment could prevent visual deficiency were identified. Results: Three hundred and nine of 1,840 patients had retinopathy (non-proliferative 282, 91.3%, proliferative 27, 8.7%). Thirty four patients had macular edema (11%) and 9 vitreous hemorrhage (2.9%). Thirty patients with non-proliferative retinopathy had visual deficiency, 4 had an unfavorable prognosis (1.4%), 21 patients with proliferative retinopathy had visual deficiency, 8 had an unfavorable prognosis (29.6%). Discussion: Nine patients with diabetic retinopathy had visual deficiency and would have an unfavorable prognosis despite treatment. In 98.6% of patients with non-proliferative retinopathy and in 70.4% of those with proliferative retinopathy, visual deficiency could have been prevented. Finding diabetic retinopathy should encourage establishing an adequate systemic and ophthalmic therapy, even in patients with proliferative retinopathy, in order to reduce the incidence of visual deficiency.

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