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   Table of Contents      
LETTER TO THE EDITOR
Year : 2021  |  Volume : 69  |  Issue : 4  |  Page : 1014-1015

The yield of diabetic retinopathy screening in patients with long-standing diabetes


1 Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India
2 Vision Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India

Date of Web Publication16-Mar-2021

Correspondence Address:
Dr. Rajiv Raman
Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, 41 College Road, Chennai - 600 006, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_3721_20

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How to cite this article:
Kumar G, Velu S, Mathavan S, Raman R. The yield of diabetic retinopathy screening in patients with long-standing diabetes. Indian J Ophthalmol 2021;69:1014-5

How to cite this URL:
Kumar G, Velu S, Mathavan S, Raman R. The yield of diabetic retinopathy screening in patients with long-standing diabetes. Indian J Ophthalmol [serial online] 2021 [cited 2023 Jan 29];69:1014-5. Available from: https://www.ijo.in/text.asp?2021/69/4/1014/311260



Dear Editior,

Diabetic retinopathy (DR) is the most common microvascular ocular complication of diabetes due to prolonged uncontrolled hyperglycemia. The population-based studies in India reported a prevalence of DR were 18% and 10% in urban and rural areas respectively.[1],[2] Nearly 50-70% of DR related visual complications can be prevented by timely screening and intervention.[3] To improve the yield of DR screening, we did a targeted DR screening camp for people diagnosed as diabetes for at least more than 10 years. We planned to reward people who despite a longer duration of diabetes didn't have any DR by a certificate and medal, few were asked to share their views on practices they followed to control diabetes [Figure 1]. The announcement for screening was made to public with the help of social media and by other modes [Figure 2]. Nearly 84 people participated in the screening. The average age was 66.47 ± 10.77 years of which 66 (68.57%) were males. The mean duration of diabetes was 16.96 ± 9.12 years. Of the people who came for screening, 70 (85.36%) people were identified with normal fundus.
Figure 1: Camp site for diabetic retinopathy screening

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Figure 2: Source of information for diabetic retinopathy screening

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People with no DR were asked to share about the measures they take in their life. Majority reported following a diabetes diet, medicines on time, followed by regular exercise like walking and yoga as a reason for good glycemic control. Few selective quotes are mentioned below.

  • Doing exercise will prevent the early onset of diabetes for the younger age people”.
  • “I feel the reason for onset of diabetes is life style changes and food habits apart from genetic factors. I maintain my diabetes under control by regular walking and following diet”.


Best means of communication to reach target population seems to be SMS messaging and word of mouth by a known person. A component of reward motivates them to continue their good glycemic control.

Financial support and sponsorship

This study was supported by the Lions Club International Foundation (SFP2050/UND).

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Raman R, Gella L, Srinivasan S, Sharma T. Diabetic retinopathy: An epidemic at home and around the world. Indian J Ophthalmol 2016;64:69-75.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Misra N, Khanna R. Commentary: Rapid assessment of avoidable blindness and diabetic retinopathy in India. Indian J Ophthalmol 2020;68:381-2.  Back to cited text no. 2
[PUBMED]  [Full text]  
3.
Coney JM. Addressing unmet needs in diabetic retinopathy. Am J Manag Care 2019;25(16 Suppl):S311-6.  Back to cited text no. 3
    


    Figures

  [Figure 1], [Figure 2]



 

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