Citation:Tajunisah I,Wong PS,Tan LT,Rokiah P,Reddy SC.Awareness of eye complications and prevalence of retinopathy in the first visit to eye clinic among type 2 diabetic patients.Int J Ophthalmol 2011;4(5):519-524,doi:10.3980/j.issn.2222-3959.2011.05.12
Awareness of eye complications and prevalence of retinopathy in the first visit to eye clinic among type 2 diabetic patients
  
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DOI:10.3980/j.issn.2222-3959.2011.05.12
Key Words:diabetic retinopathy  eye complications  awa- reness  eye screening
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I Tajunisah Department of Ophthalmology, Faculty of Medicine, University of Malaya, Kuala, Lumpur, Malaysia
PS Wong Final Year Medical Students, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
LT Tan Final Year Medical Students, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
P Rokiah Department of Medicine Endocrinology unit, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
SC Reddy Department of Ophthalmology, UCSI School of Medicine, Terengganu campus, Bukit Khor, Marang, Malaysia
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Abstract:
      AIM: To assess the awareness of eye complications and the prevalence of retinopathy, in the first visit to eye clinic, among type 2 diabetic patients attending a tertiary medical centre in Kuala Lumpur, Malaysia.

    METHODS: An investigator-administered questionnaire was given to 137 patients with diabetes undergoing first time eye screening in the eye clinic. This was followed by a detailed fundus examination by a senior ophthalmologist to assess for presence of retinopathy.

    RESULTS: Almost 86% of respondents were aware of diabetic eye complications, especially in patients who had achieved tertiary educational level (96.3%). The majority of the patients (78.8%) were referred by their physicians and only 20.4% came on their own initiative. Many of the patients (43.8%) did not know how frequent they should go for an eye check-up and 72.3% did not know what treatments were available. Lack of understanding on diabetic eye diseases (68.6%) was the main barrier for most patients for not coming for eye screening earlier. Despite a high level of awareness, only 21.9% had recorded HbA1c level of <6.5% while 31.4% were under the erroneous assumption of having a good blood sugar control. A total of 29.2% had diabetic retinopathy in their first visit eye testing.

    CONCLUSION: In the present study, 29.2% of type 2 diabetic patients had retinopathy in their first time eye testing. Although the awareness of diabetic eye complications was high among first time eye screening patients, the appropriate eye care-seeking behavior was comparatively less and should be rectified to prevent the rise of this sight threatening eye disease.

    

PMC FullText Html:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3340716/
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