关键词: Diabetes mellitus Digital photograph Obesity Ophthalmological diagnostic techniques Pre-diabetes Type 2 diabetes mellitus Vascular changes

来  源:   DOI:10.1186/s13098-023-01154-2   PDF(Pubmed)

Abstract:
BACKGROUND: Diabetic retinopathy (DR) is a common complication of DM and may go unnoticed until irreversible damage occurs. Its screening can contribute to the early detection. Although, there are no studies which investigate the ability of digital retinography to detect vascular changes in pre-diabetic patients.
OBJECTIVE: Identify the prevalence and severity of RD in patients with pre-diabetes.
METHODS: Cross-sectionalstudy carried out in a sample of patients with pre-diabetes and weight excess characterized from January 2020 to April 2023. Sociodemographic and clinical variables were collected, in addition to lifestyle habits. Retinographic evaluation was also performed using a Digital Retinography. For the analysis of all variables, the adopted significance level was 5%. The software used for the analysis was SPSS version 25.0.
RESULTS: Of 108 patients selected 7.1% have alteration in the exam indicating DR. Among the participants with diabetic retinopathy, four had the moderate form (50%), three the moderate form (37%) and only one participant had the severe form (13%).
CONCLUSIONS: Our findings highlight the importance of preventive measures and adequate control of these conditions in pre-diabetic patients, in order to prevent or delay the progression of diabetic retinopathy and, consequently, reduce the risk of blindness and other ocular complications.
摘要:
背景:糖尿病性视网膜病变(DR)是DM的常见并发症,在发生不可逆损伤之前可能不会引起注意。它的筛查有助于早期发现。虽然,目前还没有研究探讨数字视网膜成像检测糖尿病前期患者血管变化的能力.
目的:确定糖尿病前期患者RD的患病率和严重程度。
方法:在2020年1月至2023年4月的糖尿病前期和体重超标患者样本中进行的横断面研究。收集社会人口统计学和临床变量,除了生活习惯。也使用数字视网膜造影进行视网膜造影评价。对于所有变量的分析,采用的显著性水平为5%。用于分析的软件是SPSS版本25.0。
结果:在所选择的108名患者中,7.1%的患者在检查中出现了指示DR的改变。在糖尿病视网膜病变的参与者中,四个有中等形式(50%),3名参与者为中度形式(37%),只有1名参与者为重度形式(13%).
结论:我们的研究结果强调了在糖尿病前期患者中采取预防措施和充分控制这些疾病的重要性。为了预防或延缓糖尿病性视网膜病变的进展,因此,降低失明和其他眼部并发症的风险。
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