The magnitude and pattern of Diabetic Retinopathy as seen at three Hospitals in Kigali, Rwanda
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Date
2008Author
Mutangana, Francis K
Type
ThesisLanguage
enMetadata
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Objective: -(To determine the prevalence and pattern of diabetic retinopathy (DR)
and its associations in Diabetic patients attending three main diabetes clinics in
Kigali, Rwanda.
Design: This was a hospital based cross sectional study.
Subjects: A total of 391 patients aged between 14 - 88 years attending diabetes
clinics at three hospitals in Kigali during the month of September to mid October
2007 underwent a detailed eye examination. The blood pressure and fasting
blood sugars of all the patients were also measured and DR was clinically graded
using the DRS/ETDRS guidelines.
Results: DR was detected in 114 (29.2%) of the 391 patients with diabetes and
237 (60.6%) patients had never had a fundus exam. Severe non proliferative
diabetic retinopathy (NPDR) was detected in 7 (1.8%) and clinically significant
macula oedema (CSME) in 16 (4.1 %) while proliferative diabetic retinopathy
(PDR) was found in 18 (4.6%) of all the patients. DR was associated with high
blood pressures, long duration of diabetes and high fasting blood sugars. There
was no association of DR and sex of the patient.
Conclusion: The prevalence of DR among diabetic patients in this study was
29.2%. The number of diabetics who had a fundus examination for the first time
was (60.6%). This number is high and there is need for a better referral system
for early screening and management of DR in this population
Citation
Master Of Medicine , The University Of Nairobi, 2008Publisher
University of Nairobi. Faculty of Medicine