Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 5408
  • Home
  • Print this page
  • Email this page
PERSPECTIVE
Year : 2020  |  Volume : 68  |  Issue : 13  |  Page : 63-66

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


1 Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, United Kingdom
2 University Hospitals Coventry and Warwickshire, Coventry, United Kingdom
3 L.V.Prasad Eye Institute, Bhubaneswar, Odisha, India

Correspondence Address:
Prof. Clare Gilbert
London School of Hygiene and Tropical Medicine, London, Keppel Street, WC1E 7HT
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1917_19

Rights and Permissions

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.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed255    
    Printed4    
    Emailed0    
    PDF Downloaded78    
    Comments [Add]    

Recommend this journal