Salah Memon1, Shahid Ahsan2, Rashid Alvi3, Asher Fawwad4, Abdul Basit5, Samad Shera3, Sikander Ali Sheikh6, Muhammad Faisal Fahim7. 1. Department of Ophthalmology, Al-Ibrahim Eye Hospital, Karachi. 2. Department of Biochemistry, Hamdard College of Medicine and Dentistry, Hamdard University, Karachi. 3. Department of Ophthalmology, Diabetic Association of Pakistan, Karachi. 4. Department of Research, Baqai Institute of Diabetology and Endocrinology, Karachi. 5. Department of Medicine, Baqai Institute of Diabetology and Endocrinology, Karachi. 6. Department of Community Based Project Research, Al-Ibrahim Eye Hospital, Karachi. 7. Department of Research, Al-Ibrahim Eye Hospital, Karachi.
Abstract
OBJECTIVE: To determine the acceptance of retinal screening, Laser uptake and subsequent follow-up in diabetic patients attending the Diabetes Centre of Diabetic Association of Pakistan (DAP), Karachi. STUDY DESIGN: Observational case series. PLACE AND DURATION OF STUDY: Diabetic Centre of Diabetic Association of Pakistan (DAP), Karachi, from January 2011 to December 2012. METHODOLOGY: All the diabetic patients were screened for Diabetic Retinopathy (DR) with non-Mydriatic Fundus Camera (NMFC). Patients with DR were examined by the ophthalmologist using fundus lens and slit lamp. DR was graded for severity on the basis of modified Airlie House Classification. Patients with Sight Threatening Diabetic Retinopathy (STDR) were advised Laser treatment. Each patient was followed-up for at least 6 months. The records of patients recommended Laser were retrieved, and called for re-examination. RESULTS: Retinal screening was accepted by all of the 8368 registered diabetics attending DAP Centre. On fundus photography, 21.2% (1777) individuals were found to have DR. Seven hundred and five (39.5%) patients were found to have STDR. Laser was advised to 96.4% (680) of STDR patients; amongst whom 70.5% (480) accepted Laser treatment. Out of 480 patients who had Laser treatment, 21.2% (107) turned out for follow-up after 6 months. CONCLUSION: Acceptance of retinal screening and Laser application was good; but follow-up was suboptional.
OBJECTIVE: To determine the acceptance of retinal screening, Laser uptake and subsequent follow-up in diabeticpatients attending the Diabetes Centre of Diabetic Association of Pakistan (DAP), Karachi. STUDY DESIGN: Observational case series. PLACE AND DURATION OF STUDY: Diabetic Centre of Diabetic Association of Pakistan (DAP), Karachi, from January 2011 to December 2012. METHODOLOGY: All the diabeticpatients were screened for Diabetic Retinopathy (DR) with non-Mydriatic Fundus Camera (NMFC). Patients with DR were examined by the ophthalmologist using fundus lens and slit lamp. DR was graded for severity on the basis of modified Airlie House Classification. Patients with Sight Threatening Diabetic Retinopathy (STDR) were advised Laser treatment. Each patient was followed-up for at least 6 months. The records of patients recommended Laser were retrieved, and called for re-examination. RESULTS: Retinal screening was accepted by all of the 8368 registered diabetics attending DAP Centre. On fundus photography, 21.2% (1777) individuals were found to have DR. Seven hundred and five (39.5%) patients were found to have STDR. Laser was advised to 96.4% (680) of STDR patients; amongst whom 70.5% (480) accepted Laser treatment. Out of 480 patients who had Laser treatment, 21.2% (107) turned out for follow-up after 6 months. CONCLUSION: Acceptance of retinal screening and Laser application was good; but follow-up was suboptional.
Authors: Rashid Alvi; Muhammad Saleh Memon; Samad Shera; Seema N Mumtaz; Sikander Ali Shaikh; Muhammad Faisal Fahim Journal: Pak J Med Sci Date: 2016 Sep-Oct Impact factor: 1.088
Authors: Shahid Ahsan; Muhammad Saleh Memon; Muhammad Faisal Fahim; Tauseef Mahmood; Sikander Ali Sheikh Journal: Pak J Med Sci Date: 2021 Nov-Dec Impact factor: 1.088
Authors: Silvia Nanjala Walekhwa Hertzberg; Øystein K Jørstad; Beáta Éva Petrovski; Ragnheidur Bragadottir; Leif Arthur Steffensen; Morten Carstens Moe; Emily A Burger; Goran Petrovski Journal: Int J Environ Res Public Health Date: 2022-10-02 Impact factor: 4.614