Retinal involvement in type 1 diabetics, an experience from a specialized diabetes care unit of Karachi, Pakistan.
DOI:
https://doi.org/10.29309/TPMJ/2020.27.07.3903Keywords:
Fundoscopy, Retinopathy, T1DMAbstract
Objectives: To evaluate frequency of retinopathy in type 1 diabetics. Study design: Retrospective Study. Setting: Diabetes Unit (BIDE) of Baqai Medical University (BMU) Hospital of Karachi, Pakistan. January 2017 to September 2018. Material & Methods: Convenience sampling was done to collect clinical, biochemical, demographic and anthropometric measurements. Ophthalmic screening was performed by funduscopy at a slit lamp biomicroscopy with the help 90 D fundus lens. Modified Early Treatment Diabetic Retinopathy Disease Severity Scale (ETDRS) was used for the categorization. Results: Overall retinopathy was observed in around seven percent (7%) participants. On further examination by the ophthalmologist, 2 (5.1%) and 1 (2.3%) cases were grouped into STDR group and1 (2.6%) into NSTDR group. The frequency of mild to moderate and moderate to severe non proliferative diabetic retinopathy (NPDR) was found in 2.5% cases each. Whereas, tractional retinal detachment TRD and CSME were found in 2.6% cases each. Conclusion: This study highlights the importance of screening of retinopathy in type 1 diabetics to avoid insult on.