PROSPECTIVE NON-RANDOMISED OBSERVATIONAL CASE STUDY DIABETIC MACULOPATHY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 20
Abstract
BACKGROUND The epidemiological study of diabetic maculopathy in Indian population for the period of three years duration and study the treatment outcome following laser photocoagulation for various type of diabetic maculopathy. MATERIALS AND METHODS The study was conducted from July 2000 to November 2002 in 96 eyes of 50 patients. Diabetic patients either referred or detected at GOH are taken into study. History regarding onset, duration, family history, drug schedule and dietary habits. Associated systemic factors HT, IHD, renal diseases are recorded. Patients are tested for BCVA using Snellen’s chart, IOP using Goldmann applanation tonometer, slit lamp examination, fundus examination using direct and indirect ophthalmoscope and 90D biomicroscopy. Fundus photography taken using fundus camera. FFA done in all cases. RESULTS 32 patients were above 50 years of age and 18 patients are below 50 years of age. The ratio of male-to-female is 2.85:1 and 92% of patients have bilateral involvement. 28% of patients with maculopathy had diabetes mellitus of 6-10 years duration and 24% of patients had 11-15 years duration. 18.7% cases had clinically significant macular oedema. In FFA study showed 44.8% had focal lesions, 34.4% had diffuse lesions and 28.8% had ischaemic lesions. 76.9% of focal lesions improved with focal photocoagulation and 50% of diffuse lesions improved with grid photocoagulation. CONCLUSION Diabetic maculopathy is the commonest cause of visual loss in patient with diabetic retinopathy. Periodic follow up and examination are necessary to detect the involvement of macula at an earlier stage. Early treatment with photocoagulation can stabilise the visual acuity and prevent visual loss.
Authors and Affiliations
Sivaraman M, Elangovan M, Samarapuri A
Keywords
Related Articles
- EP ID EP215202
- DOI 10.18410/jebmh/2017/228
- Views 102
- Downloads 0
A CASE REPORT ON SHEEHAN’S SYNDROME WITH IRON DEFICIENCY ANAEMIA- A HAEMATOLOGICAL PERSPECTIVE OF PANHYPOPITUITARISM
BACKGROUND SS occurs due to ischaemic pituitary necrosis after severe Postpartum Haemorrhage (PPH) and is characterised by typical history of severe postpartum blood loss, hypotension or shock, postpartum lactation failu...
ROLE OF ULTRASONOGRAPHY AND CONTRAST ENHANCED CT IN DETECTION OF FOCAL LIVER LESIONS IN A RURAL SOUTH INDIAN POPULATION
BACKGROUND Focal liver lesions are frequently encountered by radiologists mostly during routine ultrasonography and then are usually evaluated further by contrast enhanced CT. Dedicated triple phase CT helps in studying...
RETINOPATHY OF PREMATURITY- A CLINICAL STUDY
BACKGROUND The aim of the study is to detect the incidence of retinopathy of prematurity among low birth weight and preterm infants and identification of potential risk factors for retinopathy of prematurity. MATERIALS A...
ATTENUATION OF CARDIOVASCULAR RESPONSES TO LARYNGOSCOPY AND INTUBATIONDEXMEDETOMIDINE VS. MAGNESIUM SULFATE
BACKGROUND Laryngoscopy and intubation are associated with cardiovascular changes like tachycardia, increase in blood pressure and pulmonary artery pressure and arrhythmias and ever since several methods have been sugges...
STUDY OF THE PATTERN AND DISTRIBUTION OF BRONCHOGENIC CARCINOMA IN COMPUTED TOMOGRAPHY OF CHEST
BACKGROUND Bronchogenic carcinoma is a leading cause of cancer related deaths, more than Colon cancer, breast cancer and prostate cancer combined. Chest computed tomography (CT) chest is widely used for diagnosis, part o...