Abstract
Purpose :
One of the major microvascular complications of diabetes, and diabetic retinopathy (DR), which is the main cause of blindness among North Americans between the ages 20 to 64, causing 8,000 new cases of blindness each year(2). The duration of DM is strongly associated with the frequency and severity of DR (11). According to Kullberg and Arnqvist with the introduction of glycated hemoglobin, it was demonstrated that the blood glucose control is the most important independent risk factor for diabetic retinopathy(12). On the other hand, the Hypertension Systemic is twice as common in people with diabetes, and appears to make an important role in diabetic retinopathy.
The present study aims to evaluate the incidence and risk factors of diabetic retinopathy (disease duration and the presence of hypertension) in patients with diabetic retinopathy diagnosed in the retina sector of a reference ophthalmological hospital in Goiânia-Go, from November 2015 to May 2016.
Methods :
This is a field study, transversal, quantitative approach. The study population will be patients diagnosed with diabetic retinopathy met in November 2015 to May 2016. As a data collection instrument of patients will be through analysis of medical records, will be lifted the following data: time of diagnosis of diabetes mellitus, presence or absence of systemic hypertension, gender, age and visual acuity beyond the established conduct after evaluation of the patient. The data collected will be analyzed by the researchers. Will be evaluated the relationship of the disease with sex, age, estimated time of diagnosis, type of diabetes and retinopathy, clinical presence of hypertension, visual acuity.
Results :
The overall incidence of diabetic retinopathy was 72 new cases in the six months of analysis. Of which a total of 70% had systemic arterial hypertension and 70% had inefficient glycemic control. It was observed that 75% of the patients had diabetes for over 20 years and among those, 80% had laser photocoagulation indication.
Conclusions :
There was a strong relationship between severe diabetic retinopathy, as well as the duration of disease, with a poor outcome. Thus it is demonstrated that pressure, and duration of disease correlate with a poor retinal injury frame, when compared to the patients with good glycemic control, and reduced disease duration.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.