March 2012
Volume 53, Issue 14
Free
ARVO Annual Meeting Abstract  |   March 2012
Diabetic Retinopathy And Diabetic Foot Syndrome In Patients Of An Sub-Saharan Megacity (Kinshasa, DR Kongo)
Author Affiliations & Notes
  • Steffi Knappe
    Department of Ophthalmology, University of Rostock, Rostock, Germany
  • Dörte Stoll
    Department of Ophthalmology, University of Rostock, Rostock, Germany
  • Marie Therese Bambi
    Saint Joseph Hospital, Kinshasa, Congo, The Democratic Republic of the
  • Rudolf F Guthoff
    Department of Ophthalmology, University of Rostock, Rostock, Germany
  • Footnotes
    Commercial Relationships  Steffi Knappe, None; Dörte Stoll, None; Marie Therese Bambi, None; Rudolf F Guthoff, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science March 2012, Vol.53, 2881. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Steffi Knappe, Dörte Stoll, Marie Therese Bambi, Rudolf F Guthoff; Diabetic Retinopathy And Diabetic Foot Syndrome In Patients Of An Sub-Saharan Megacity (Kinshasa, DR Kongo). Invest. Ophthalmol. Vis. Sci. 2012;53(14):2881.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose: : Prevalence of diabetes mellitus is increasing worldwide especially in developing countries. Foot ulcerations in patients with diabetic neuropathy have a high impact in the overall amputation rate. In the present study we looked for the severity of diabetic retinopathy in patients with diabetic foot syndrome in a diabetic care unit in a sub-Sahara megacity (Kinshasa, Democratic Republic of Congo).

Methods: : Forty one patients with diabetic related foot ulcerations (26 male, 15 female, mean age 45,6 years) were enrolled in the study. All patients underwent visual acuity evaluation and slit lamp biomicroscopy. Incidence and stage of retinopathy were evaluated by retinal funduscopy and documented by fundus photography.

Results: : Twenty seven eyes showed no signs of diabetic retinopathy. Forty seven eyes were diagnosed as non proliferative diabetic retinopathy (16 mild, 16 moderate, 15 severe). Seven eyes showed proliferative diabetic retinopathy. One patient had a unilateral central venous occlusion. In this case the classification of diabetic retinopathy was not possible because of the massive retinal bleedings.

Conclusions: : It was evident that there is a considerable discrepancy between partly extensive foot ulcerations and only mild to moderate diabetic retinopathy in most of the patients. This indicates neuropathy induced foot problems and microangiopathy induced diabetic retinopathy are diabetic complications whose formal pathogenesis is only loosely correlated. Additional risk factors in local African conditions compared to Europe may play a major role in this discrepancy.

Keywords: diabetic retinopathy • clinical (human) or epidemiologic studies: risk factor assessment • innervation: neural regulation 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×