Diabetic Retinopathy Among Type II Diabetics; with and without Microalbuminuria

Abstract

Objective: To determine the frequency of diabetic retinopathy among type ii diabetics, with and without microalbuminuria at tertiary care Hospital. Study Design: Cross-sectional study. Settings: Diabetes Management Centre, Services Hospital Lahore-Pakistan. Duration: Six months duration from May 2015 to November 2015. Methodology: Patients with type II diabetes mellitus diagnosed for >10 years and whose random blood sugar level was >200 mg/dl or fasting blood sugar level is >126 mg/dl at the time of diagnosis, both gender and age between 25 to 70 years were included. Patient were said to have diabetic retinopathy if any one of the following changes were seen on his/her fundoscopy by retinal camera: Microaneurysm, blot and dot hemorrhages, hard exudates, beading, and venous looping, soft exudates, maculopathy and formation of fresh vessel. All the data was recorded in the proforma. Results: Total 300 patients were studied; their age range was 35-70 years. 43% were male and 57% were female. Out of 300 diabetics, 90 were diagnosed as patients of retinopathy and 86 were found to have microalbuminuria i.e., 28.7%. Frequency of retinopathy was greater among microalbuminuria cases (45.4%) while among cases without microalbuminuria it was 24.3%. Conclusion: It was concluded that the frequency of retinopathy was higher among patients with microalbuminuria as compare to those without microalbuminuria. After these findings’ microalbuminuria can be used as a predictor of diabetic retinopathy.