Your browser doesn't support javascript.
loading
Frecuencia y severidad de retinopatía diabética en pacientes con diabetes mellitus tipo 2 en el Instituto Regional de Oftalmología / Frequency and severity of diabetic retinopathy in patients with type 2 diabetes mellitus at the Regional Institute of Ophthalmology
Adrianzén, Rosa Elena; Rioja, Miguel; Manrique, Alberto.
  • Adrianzén, Rosa Elena; Instituto Regional de Oftalmología. La Libertad. PE
  • Rioja, Miguel; Instituto Regional de Oftalmología. La Libertad. PE
  • Manrique, Alberto; Instituto Regional de Oftalmología. La Libertad. PE
Rev. peru. med. exp. salud publica ; 36(2): 260-264, abr.-jun. 2019. tab
Article in Spanish | LILACS | ID: biblio-1020793
RESUMEN
RESUMEN Para determinar la frecuencia y el grado de severidad de retinopatía diabética (RD) en pacientes con diabetes mellitus (DM) tipo 2 se realizó un estudio descriptivo transversal en 3239 pacientes del Instituto Regional de Oftalmología de la ciudad de Trujillo, región La Libertad, Perú. Previa dilatación pupilar, personal entrenado tomó dos fotografías de cada ojo, centrado en mácula y nervio óptico. La frecuencia de RD fue de 25,9 % con mayor proporción en varones con RD (28,2%) y en aquellos con más de 10 años de enfermedad por DM (49,0%). La mayoría de pacientes tuvieron retinopatía diabética no proliferativa (RDNP) leve a moderada (79,3%), el 10,1% tuvo RDNP severa y el 10,6 % RD proliferativa. Concluimos que la RD se presenta en uno de cada cuatro pacientes y alrededor del 20% en grados avanzados. Es preciso ampliar la cobertura de tamizaje desde el momento del diagnóstico de DM e implementar medidas preventivas como el control metabólico y el examen periódico del fondo de ojo.
ABSTRACT
ABSTRACT In order to determine the frequency and severity of diabetic retinopathy (DR) in patients with type 2 diabetes mellitus (MD), a cross-sectional descriptive study was conducted in 3,239 patients of the Regional Institute of Ophthalmology in the city of Trujillo, La Libertad region, Peru. After pupil dilation, trained personnel took two photographs of each eye, centered on macula and optic nerve. The frequency of DR was 25.9%, with a higher proportion in men with DR (28.2%) and in those with more than 10 years of MD disease (49.0%). Most patients had mild to moderate non-proliferative diabetic retinopathy (NPDR) (79.3%); 10.1% had severe NPDR, and 9.7% had proliferative DR. We conclude that DR occurs in one in four patients and about 20% in advanced degrees. There is a need to expand screening coverage from the time of diagnosis of DM and to implement preventive measures such as metabolic control and periodic ocular fundus exam.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Diabetes Mellitus, Type 2 / Diabetic Retinopathy Type of study: Diagnostic study / Observational study / Prevalence study / Prognostic study / Risk factors / Screening study Limits: Adult / Aged / Aged80 / Female / Humans / Male Country/Region as subject: South America / Peru Language: Spanish Journal: Rev. peru. med. exp. salud publica Journal subject: Public Health Year: 2019 Type: Article Affiliation country: Peru Institution/Affiliation country: Instituto Regional de Oftalmología/PE

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Diabetes Mellitus, Type 2 / Diabetic Retinopathy Type of study: Diagnostic study / Observational study / Prevalence study / Prognostic study / Risk factors / Screening study Limits: Adult / Aged / Aged80 / Female / Humans / Male Country/Region as subject: South America / Peru Language: Spanish Journal: Rev. peru. med. exp. salud publica Journal subject: Public Health Year: 2019 Type: Article Affiliation country: Peru Institution/Affiliation country: Instituto Regional de Oftalmología/PE