Clinical characteristics and knowledge of diabetic retinopathy patients at a tertiary hospital in Aceh, Indonesia

Background:Diabetic retinopathy (DR) is a significant microvascular complication of diabetes mellitus, leading to vision impairment and blindness in working-age adults globally.Aim:To evaluate the knowledge, clinical characteristics and associated factors among diabetic retinopathy patients attendin...

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Veröffentlicht in:African vision and eye health 2024-01, Vol.83 (1)
Hauptverfasser: Zaini, Lia M, Kartasasmita, Arief S, Gondhowiardjo, Tjahjono D, Syukri, Maimun, Mulya, Putri N
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container_issue 1
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container_title African vision and eye health
container_volume 83
creator Zaini, Lia M
Kartasasmita, Arief S
Gondhowiardjo, Tjahjono D
Syukri, Maimun
Mulya, Putri N
description Background:Diabetic retinopathy (DR) is a significant microvascular complication of diabetes mellitus, leading to vision impairment and blindness in working-age adults globally.Aim:To evaluate the knowledge, clinical characteristics and associated factors among diabetic retinopathy patients attending an ophthalmology clinic at a tertiary hospital in Aceh from May 2020 to May 2021.Setting:The study was conducted at Zainoel Abidin General Hospital, Banda Aceh, Indonesia.Methods:A prospective cross-sectional study using consecutive sampling was conducted. Data collection involved patient history, eye examinations, laboratory tests and administering a questionnaire to assess knowledge of diabetes and diabetic retinopathy. The data were analysed using descriptive statistics and binary logistic regression.Results:Out of 173 participants, 170 were included in the study. A significant proportion had visual acuity less than 6/60 (44.1%) and proliferative diabetic retinopathy (PDR) (52.6%) with macular oedema in 11.8%. Only seven (4.1%) patients had good knowledge of diabetes and 28 (16.5%) had good knowledge of DR. A total of 113 (66.5%) patients were aware that diabetes could affect the eye and positively associated with the sex (adjusted odds ratio [AOR]: 6.18, 95% confidence interval [CI]: 1.80–21.21, P = 0.004), educational level (AOR: 4.66, 95% CI: 1.31–16.51, P = 0.017) and type of DM (AOR: 5.30, 95% CI: 1.97–14.26, P = 0.001).Conclusion:The study revealed a high incidence of vision-threatening diabetic retinopathy (VTDR), including severe non-proliferative, proliferative and significant macular oedema cases. However, patients’ knowledge of their disease was very low.Contribution:This study crucial data to the Department of Health Authority for policy decision-making.
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Data collection involved patient history, eye examinations, laboratory tests and administering a questionnaire to assess knowledge of diabetes and diabetic retinopathy. The data were analysed using descriptive statistics and binary logistic regression.Results:Out of 173 participants, 170 were included in the study. A significant proportion had visual acuity less than 6/60 (44.1%) and proliferative diabetic retinopathy (PDR) (52.6%) with macular oedema in 11.8%. Only seven (4.1%) patients had good knowledge of diabetes and 28 (16.5%) had good knowledge of DR. A total of 113 (66.5%) patients were aware that diabetes could affect the eye and positively associated with the sex (adjusted odds ratio [AOR]: 6.18, 95% confidence interval [CI]: 1.80–21.21, P = 0.004), educational level (AOR: 4.66, 95% CI: 1.31–16.51, P = 0.017) and type of DM (AOR: 5.30, 95% CI: 1.97–14.26, P = 0.001).Conclusion:The study revealed a high incidence of vision-threatening diabetic retinopathy (VTDR), including severe non-proliferative, proliferative and significant macular oedema cases. 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Data collection involved patient history, eye examinations, laboratory tests and administering a questionnaire to assess knowledge of diabetes and diabetic retinopathy. The data were analysed using descriptive statistics and binary logistic regression.Results:Out of 173 participants, 170 were included in the study. A significant proportion had visual acuity less than 6/60 (44.1%) and proliferative diabetic retinopathy (PDR) (52.6%) with macular oedema in 11.8%. Only seven (4.1%) patients had good knowledge of diabetes and 28 (16.5%) had good knowledge of DR. A total of 113 (66.5%) patients were aware that diabetes could affect the eye and positively associated with the sex (adjusted odds ratio [AOR]: 6.18, 95% confidence interval [CI]: 1.80–21.21, P = 0.004), educational level (AOR: 4.66, 95% CI: 1.31–16.51, P = 0.017) and type of DM (AOR: 5.30, 95% CI: 1.97–14.26, P = 0.001).Conclusion:The study revealed a high incidence of vision-threatening diabetic retinopathy (VTDR), including severe non-proliferative, proliferative and significant macular oedema cases. 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subjects Blindness
Diabetes
Diabetic retinopathy
Edema
Education
Ethics
Government employees
Hospitals
Knowledge
Ophthalmology
Patients
Prevention
Questionnaires
Sociodemographics
State budgets
Visual acuity
Visual impairment
title Clinical characteristics and knowledge of diabetic retinopathy patients at a tertiary hospital in Aceh, Indonesia
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