A small number of older type 2 diabetic patients end up visually impaired despite regular photographic screening and laser treatment for diabetic retinopathy.
(2002) In Acta Ophthalmologica Scandinavica 80(3). p.310-315- Abstract
- Purpose: The present study describes the prevalence of visual impairment and blindness in a geographically defined population 8 years after the introduction of a screening programme in 1987 for early detection of sight-threatening diabetic retinopathy.
Methods: Of 374 patients with diabetes, comprising 2.6% of the population in the study community, 72% were examined with fundus photography or biomicroscopy during 1994-95. These patients form the basis of this study. The screening programme was fulfilled by 93% of subjects, all of whom underwent ophthalmic examinations at least every other year. A total of 79 eyes in 52 patients received photocoagulation for macular oedema alone or in combination with severe... (More) - Purpose: The present study describes the prevalence of visual impairment and blindness in a geographically defined population 8 years after the introduction of a screening programme in 1987 for early detection of sight-threatening diabetic retinopathy.
Methods: Of 374 patients with diabetes, comprising 2.6% of the population in the study community, 72% were examined with fundus photography or biomicroscopy during 1994-95. These patients form the basis of this study. The screening programme was fulfilled by 93% of subjects, all of whom underwent ophthalmic examinations at least every other year. A total of 79 eyes in 52 patients received photocoagulation for macular oedema alone or in combination with severe non-proliferative or proliferative retinopathy.
Results: Eight years after the implementation of the programme, only three patients, all with type 2 diabetes (diabetes diagnosed at or after 30 years of age), had visual acuity <= 0.1. The total number of eyes with visual acuity <= 0.5 was higher in insulin-treated type 2 diabetic patients (n = 20) than in those on oral treatment (n = 5) or diet treatment only (n = 1) (p = 0.006 in both cases). The only independent risk factor for visual impairment in eyes with sight-threatening retinopathy was age.
Conclusion: A small number of older type 2 diabetic patients end up with visual impairment due to unsuccessful photocoagulation of macular oedema. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/115243
- author
- Hansson-Lundblad, Catharina ; Holm, Kristina LU ; Agardh, Carl-David LU and Agardh, Elisabet LU
- organization
- publishing date
- 2002
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Blindness: epidemiology, Blindness: etiology, Infant, Adolescent, Adult, Aged, Female, Human, Preschool, Diabetic Retinopathy: complications, Diabetic Retinopathy: diagnosis, Diabetic Retinopathy: surgery, Child, Newborn, Laser Coagulation, Male, Middle Age, Photography, Prevalence, Risk Factors, Support, Non-U.S. Gov't, Sweden: epidemiology, Vision Disorders: epidemiology, Vision Disorders: etiology, Vision Screening: methods, Visual Acuity, Visually Impaired Persons: statistics & numerical data
- in
- Acta Ophthalmologica Scandinavica
- volume
- 80
- issue
- 3
- pages
- 310 - 315
- publisher
- Wiley
- external identifiers
-
- wos:000176204600015
- pmid:12059872
- scopus:0036086660
- ISSN
- 1395-3907
- DOI
- 10.1034/j.1600-0420.2002.800315.x
- language
- English
- LU publication?
- yes
- id
- e321f159-6ca1-4154-b5a6-4fb7c8592a63 (old id 115243)
- alternative location
- http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=12059872&dopt=Abstract
- date added to LUP
- 2016-04-01 16:59:37
- date last changed
- 2022-03-22 22:34:41
@article{e321f159-6ca1-4154-b5a6-4fb7c8592a63,
abstract = {{Purpose: The present study describes the prevalence of visual impairment and blindness in a geographically defined population 8 years after the introduction of a screening programme in 1987 for early detection of sight-threatening diabetic retinopathy.<br/><br>
<br/><br>
Methods: Of 374 patients with diabetes, comprising 2.6% of the population in the study community, 72% were examined with fundus photography or biomicroscopy during 1994-95. These patients form the basis of this study. The screening programme was fulfilled by 93% of subjects, all of whom underwent ophthalmic examinations at least every other year. A total of 79 eyes in 52 patients received photocoagulation for macular oedema alone or in combination with severe non-proliferative or proliferative retinopathy.<br/><br>
<br/><br>
Results: Eight years after the implementation of the programme, only three patients, all with type 2 diabetes (diabetes diagnosed at or after 30 years of age), had visual acuity <= 0.1. The total number of eyes with visual acuity <= 0.5 was higher in insulin-treated type 2 diabetic patients (n = 20) than in those on oral treatment (n = 5) or diet treatment only (n = 1) (p = 0.006 in both cases). The only independent risk factor for visual impairment in eyes with sight-threatening retinopathy was age.<br/><br>
<br/><br>
Conclusion: A small number of older type 2 diabetic patients end up with visual impairment due to unsuccessful photocoagulation of macular oedema.}},
author = {{Hansson-Lundblad, Catharina and Holm, Kristina and Agardh, Carl-David and Agardh, Elisabet}},
issn = {{1395-3907}},
keywords = {{Blindness: epidemiology; Blindness: etiology; Infant; Adolescent; Adult; Aged; Female; Human; Preschool; Diabetic Retinopathy: complications; Diabetic Retinopathy: diagnosis; Diabetic Retinopathy: surgery; Child; Newborn; Laser Coagulation; Male; Middle Age; Photography; Prevalence; Risk Factors; Support; Non-U.S. Gov't; Sweden: epidemiology; Vision Disorders: epidemiology; Vision Disorders: etiology; Vision Screening: methods; Visual Acuity; Visually Impaired Persons: statistics & numerical data}},
language = {{eng}},
number = {{3}},
pages = {{310--315}},
publisher = {{Wiley}},
series = {{Acta Ophthalmologica Scandinavica}},
title = {{A small number of older type 2 diabetic patients end up visually impaired despite regular photographic screening and laser treatment for diabetic retinopathy.}},
url = {{https://lup.lub.lu.se/search/files/4840584/623797.pdf}},
doi = {{10.1034/j.1600-0420.2002.800315.x}},
volume = {{80}},
year = {{2002}},
}