Prevalence of Primary Open-Angle Glaucoma in Diabetics Attending Postgraduate Department of Ophthalmology GMC Srinagar
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 10
Abstract
Background: In 1971 Becker stated “diabetes mellitus occurs more often in patients with primary open angle glaucoma than in non-glaucomatous populations. Armstrong et al reported a prevalence of POAG of 4.1% in the diabetic patients compared with 1.4% in the controls. However a number of studies have not found association between diabetes and POAG Objectives: 1) To study the hospital based prevalence of POAG among the diabetic patients attending postgraduate department of ophthalmology G.M.C. Srinagar. 2) To screen all diabetics for glaucoma Material and Methods: This cross sectional study was conducted on 100 diabetic patients for a period of one & a half year at postgraduate department of ophthalmology G.M.C Srinagar. Diabetic patients above 50 years were selected as per inclusion and exclusion criteria. Detailed history was noted in all the patients and they underwent ophthalmic evaluation and investigation. Results: The study group consisted of 100 diabetic patients (52 females and 48 males) in the age group of 50 to 86 years with mean age of 62.15±6.48 years. Overall proportion of POAG cases observed was 5%, NTG cases observed were 2%, OH cases observed were 1% and remaining 93% patients were normal. Among POAG patients, bilateral eye involvement was seen in 4 cases while one patient had only right eye involvement. NTG & OH cases had bilateral eye involvement. Statistically no sex predisposition was present (p>0.05). Mean CD ratio of POAG & normal diabetics was respectively 0.680 & 0.400 (p<0.05). Neuroretinal rim (NRR) thinning, cupping, vascular changes and peripapillary changes were observed in glaucomatous patients. On OCT, mean linear vertical Cup Disc Ratio as well as Cup Disc Area ratio was found significantly higher in POAG & NTG patients than OH & normal patients. On OCT mean RNFL thickness was found significantly less in POAG & NTG patients than in OH & normal patients in all quadrants Conclusion: It is concluded that there is excess of POAG among diabetics; thereby showing an association between POAG & Diabeties
Authors and Affiliations
Dr Anshuli Sood
Keywords
Related Articles
- EP ID EP513601
- DOI -
- Views 52
- Downloads 0
Willingness to Continue Human Papilloma Vaccination by Self, Following a Free First Dose Vaccination Program in Low Resource Community
Vaccination against the Human Papillomavirus has resulted in reduction in the incidence among those who have received the vaccine. The Vaccines is however expensive and may be an impediment to inclusion in immunization s...
Corneal Changes in Myopia in a Tertiary Centre in South India
Aim: To analyze central corneal thickness and corneal endothelial cell changes in young myopes. Methods: Study conducted for a period of 12 months in 168 myopic eyes with age less than 30 years. Ocular examination includ...
Comparative Study of Gut Anastomosis Single Layer Hand Sewn v/s Stapler in our Institute
Bowel anastomosis is common practice in surgery deptt. of any hospital. Anastomosis can be done by various methods. Single layer hand sewn, double layer hand sewn , or stapler anastomosis. We are going to compare the sin...
The Role of Diffusion-weighted Imaging in Patients with Brain Tumors
Diffusion-weighted imaging is an MR imaging technique in which contrast within the image is based on microscopic motion of water. It was first described in 1965 by two physical chemists, Stejskal and Tanner. Diffusion-we...
Variations in Anatomy on CT in Chronic Sinusitis- A Prospective Study
This study is a prospective cross sectional, which includes 85 patients suffering from sinusitis for twelve weeks or more who have been evaluated by endoscopic nasal examination and CT scan for anatomical variations and...