Ophthalmic Survey of a Diabetic Clinic. I: Ocular Findings

Overview

Journal Br J Ophthalmol

Specialty Ophthalmology

Date 1986 Nov 1

PMID 3790479

Citations 5

Authors

R H Grey

N MALCOLM

D OReilly

A Morris

Affiliations

Soon will be listed here.

Abstract

A medical diabetic clinic was examined for evidence of diabetic eye disease. Of 681 patients invited for ocular examination 96.6% attended for screening. The results for insulin dependent diabetics (IDDs) and non-insulin dependent diabetics (NIDDs) were analysed separately and the major findings were: Cataracts were present in 40.8% of IDDs and 46.2% of NIDDs, with an increased incidence with advancing age. For younger age groups there were significantly more cataracts in IDDs than in NIDDs (p less than 0.001). Cataract extraction was required in 4.2% of the patients, which is higher than the general population. The presence of retinopathy was related to the duration of diabetes (p less than 0.001) but not to age of onset of diabetes. Retinopathy was found in 43.4% of IDDs and 20.1% of NIDDs. Sight threatening retinopathy was present in 13.3% of IDD and 4.3% of NIDD eyes. Advanced diabetic eye disease was seen in 0.6% of eyes.

Citing Articles

Ophthalmic survey of a diabetic clinic: II. Requirements for treatment of retinopathy.

Grey R, Morris A Br J Ophthalmol. 1986; 70(11):804-7.

PMID: 3790480 PMC: 1040832. DOI: 10.1136/bjo.70.11.804.

Ophthalmic survey of a diabetic clinic.

Rosenblat I, David R, Yassur Y Br J Ophthalmol. 1988; 72(2):160.

PMID: 3349018 PMC: 1041393. DOI: 10.1136/bjo.72.2.160.

Blind and partial sight registration in Avon.

Grey R, Burns-Cox C, Hughes A Br J Ophthalmol. 1989; 73(2):88-94.

PMID: 2930763 PMC: 1041661. DOI: 10.1136/bjo.73.2.88.

A vitreoretinal service.

Richardson J, Wood C, Mackay L, GARDNER E BMJ. 1989; 299(6693):241-5.

PMID: 2504382 PMC: 1836906. DOI: 10.1136/bmj.299.6693.241.

The transparency of the lens: a comparison between diabetic and non-diabetic patients.

Franklin S, Flammer J, De Natale R, Rutishuser C Int Ophthalmol. 1990; 14(2):73-6.

PMID: 2338385 DOI: 10.1007/BF00154204.

References

Burditt A, CAIRD F, Draper G . The natural history of diabetic retinopathy. Q J Med. 1968; 37(146):303-17. View

CAIRD F, Hutchinson M, PIRIE A . CATARACT EXTRACTION IN AN ENGLISH POPULATION. Br J Prev Soc Med. 1965; 19:80-4. PMC: 1058988. DOI: 10.1136/jech.19.2.80. View

KAHN H, Bradley R . Prevalence of diabetic retinopathy. Age, sex, and duration of diabetes. Br J Ophthalmol. 1975; 59(7):345-9. PMC: 1042637. DOI: 10.1136/bjo.59.7.345. View

Cheng H . Response of proliferative diabetic retinopathy to xenon-arc photocoagulation. A multicentre randomized controlled trial. Second interim report. Trans Ophthalmol Soc U K (1962). 1976; 96(2):224-7. View

Hercules B, Gayed I, Lucas S, Jeacock J . Peripheral retinal ablation in the treatment of proliferative diabetic retinopathy: a three-year interim report of a randomised, controlled study using the argon laser. Br J Ophthalmol. 1977; 61(9):555-63. PMC: 1043048. DOI: 10.1136/bjo.61.9.555. View

Michels R . Vitrectomy for complications of diabetic retinopathy. Arch Ophthalmol. 1978; 96(2):237-46. DOI: 10.1001/archopht.1978.03910050105001. View

Hamilton A . Diabetic blindness and its prevention by photocoagulation. Trans Ophthalmol Soc U K (1962). 1978; 98(2):296-8. View

AABERG T . Clinical results in vitrectomy for diabetic traction retinal detachment. Am J Ophthalmol. 1979; 88(2):246-53. DOI: 10.1016/0002-9394(79)90473-2. View

Schanzlin D, Jay W, Fritz K, Tripathi R, Gonen B . Hemoglobin A1 and diabetic retinopathy. Am J Ophthalmol. 1979; 88(6):1032-8. DOI: 10.1016/0002-9394(79)90412-4. View

10.

Yassur Y, Pickle L, Fine S, Singerman L, Orth D, Patz A . Optic disc neovascularisation in diabetic retinopathy: II. Natural history and results of photocoagulation treatment. Br J Ophthalmol. 1980; 64(2):77-86. PMC: 1039354. DOI: 10.1136/bjo.64.2.77. View

11.

West K, Erdreich L, Stober J . A detailed study of risk factors for retinopathy and nephropathy in diabetes. Diabetes. 1980; 29(7):501-8. DOI: 10.2337/diab.29.7.501. View

12.

Townsend C, Bailey J, Kohner E . Xenon arc photocoagulation for the treatment of diabetic maculopathy. Interim report of a multicentre controlled clinical study. Br J Ophthalmol. 1980; 64(6):385-91. PMC: 1043714. DOI: 10.1136/bjo.64.6.385. View

13.

Townsend C, Bailey J, Kohner E . Xenon arc photocoagulation in the treatment of diabetic maculopathy. Trans Ophthalmol Soc U K (1962). 1979; 99(1):13-6. View

14.

Mitchell P . The prevalence of diabetic retinopathy: a study of 1300 diabetics from Newcastle and the Hunter Valley. Aust J Ophthalmol. 1980; 8(3):241-6. DOI: 10.1111/j.1442-9071.1980.tb00347.x. View

15.

Scobie I, MacCuish A, Barrie T, Green F, Foulds W . Serious retinopathy in a diabetic clinic: prevalence and therapeutic implications. Lancet. 1981; 2(8245):520-1. DOI: 10.1016/s0140-6736(81)90898-9. View

16.

Palmberg P, Smith M, Waltman S, Krupin T, Singer P, Burgess D . The natural history of retinopathy in insulin-dependent juvenile-onset diabetes. Ophthalmology. 1981; 88(7):613-8. DOI: 10.1016/s0161-6420(81)34975-6. View

17.

Reeser F, Fleischman J, Williams G, Goldman A . Efficacy of argon laser photocoagulation in the treatment of circinate diabetic retinopathy. Am J Ophthalmol. 1981; 92(6):762-7. DOI: 10.1016/s0002-9394(14)75626-0. View

18.

Plumb A, Swan A, CHIGNELL A, Shilling J . A comparative trial of xenon arc and argon laser photocoagulation in the treatment of proliferative diabetic retinopathy. Br J Ophthalmol. 1982; 66(4):213-8. PMC: 1039759. DOI: 10.1136/bjo.66.4.213. View

19.

Hockaday T . Diabetic maculopathy. Br Med J (Clin Res Ed). 1983; 286(6369):915-6. PMC: 1547327. DOI: 10.1136/bmj.286.6369.915. View

20.

McGuinness R . Association of diabetes and cataract. Br Med J. 1967; 2(5549):416-8. PMC: 1845090. DOI: 10.1136/bmj.2.5549.416. View