July 2018
Volume 59, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2018
DIABETIC RETINOPATHY IN RURAL POPULATION, EXPERIENCE IN A MEXICAN INSTITUTION OF OPHTHALMOLOGY
Author Affiliations & Notes
  • Veronica Adriana Romero Morales
    Ophthalmology, Instituto Mexicano de Oftalmologia I.A.P., Queretaro, Mexico
  • MIGUEL ANGEL VAZQUEZ
    Ophthalmology, Instituto Mexicano de Oftalmologia I.A.P., Queretaro, Mexico
  • RENATA GARCIA FRANCO
    Ophthalmology, Instituto Mexicano de Oftalmologia I.A.P., Queretaro, Mexico
  • ELISA HERNANDEZ
    Ophthalmology, Instituto Mexicano de Oftalmologia I.A.P., Queretaro, Mexico
  • Ximena Mira
    Ophthalmology, Instituto Mexicano de Oftalmologia I.A.P., Queretaro, Mexico
  • Diana dorantes
    Anahuac University, Queretaro, Mexico
  • Thalia Gonzalez
    Anahuac University, Queretaro, Mexico
  • Jose Antonio López
    Anahuac University, Queretaro, Mexico
  • Valeria Millán
    Anahuac University, Queretaro, Mexico
  • Miguel Kristo Miranda Santiago
    Anahuac University, Queretaro, Mexico
  • Dalyir Rodriguez
    Anahuac University, Queretaro, Mexico
  • Luis Alberto Romano
    Anahuac University, Queretaro, Mexico
  • Diana Laura Torres
    Anahuac University, Queretaro, Mexico
  • Paulina Ramirez
    Ophthalmology, Instituto Mexicano de Oftalmologia I.A.P., Queretaro, Mexico
  • Gabriela Hernandez Alba
    Anahuac University, Queretaro, Mexico
    Ophthalmology, Instituto Mexicano de Oftalmologia I.A.P., Queretaro, Mexico
  • Van C Lansingh
    Ophthalmology, Instituto Mexicano de Oftalmologia I.A.P., Queretaro, Mexico
  • Footnotes
    Commercial Relationships   Veronica Romero Morales, None; MIGUEL VAZQUEZ, None; RENATA GARCIA FRANCO, None; ELISA HERNANDEZ, None; Ximena Mira, None; Diana dorantes, None; Thalia Gonzalez, None; Jose Antonio López, None; Valeria Millán, None; Miguel Kristo Miranda Santiago, None; Dalyir Rodriguez, None; Luis Alberto Romano, None; Diana Laura Torres, None; Paulina Ramirez, None; Gabriela Hernandez Alba, None; Van Lansingh, None
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science July 2018, Vol.59, 1058. doi:
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      Veronica Adriana Romero Morales, MIGUEL ANGEL VAZQUEZ, RENATA GARCIA FRANCO, ELISA HERNANDEZ, Ximena Mira, Diana dorantes, Thalia Gonzalez, Jose Antonio López, Valeria Millán, Miguel Kristo Miranda Santiago, Dalyir Rodriguez, Luis Alberto Romano, Diana Laura Torres, Paulina Ramirez, Gabriela Hernandez Alba, Van C Lansingh; DIABETIC RETINOPATHY IN RURAL POPULATION, EXPERIENCE IN A MEXICAN INSTITUTION OF OPHTHALMOLOGY. Invest. Ophthalmol. Vis. Sci. 2018;59(9):1058.

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

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Abstract

Purpose : The purpose of this study is to evaluate the demographic characteristics at the first visit in patients with diabetic retinopathy in an institution with rural mexican population.

Methods : A retrospective, descriptive and observational study was done. We included 1,657 patients with diagnosis of Diabetes Mellitus type 2, age more than 18 years old, based, who received ophthalmologic attention for screening or treatment for diabetic retinopathy in the Mexican Institute of Ophthalmology in Queretaro, Mexico. We review the electronic file and evaluate years with the diagnosis of Diabetes Mellitus, systemic diseases associated, ocular antecedents, clinical characteristics in the retinal fundus exam were assessed.

Results : We included 3,314 eyes of 1657 patients, 24% female (401); 42.8% were 41- 60 years old, 53% >60 years old. In the systemic antecedents we found the time with diagnosis of Diabetes Mellitus mean 14 years (± 8.3), diseases associated as arterial systemic hypertension 48.35% and diabetic nephropathy 6.2%.
At the first visit 5.9% of patients without diabetic systemic treatment. In the previous ocular antecedents we found LASER 49.6% and antiangiogenic treatment 24%.
Clinical characteristics of 3,314 eyes, best corrected visual acuity 3.4% with 20/20, 40.1% with 20/200 - light perception and no light perception 2.9%.
In the retinal fundus exam we found: No diabetic retinopathy in 16.8%, no proliferative diabetic retinopathy in 19.5%, proliferative in 63.7%, with tractional retinal detachment 3% and neovascular glaucoma 5.8%.

Conclusions : The population evaluated in the Mexican Institute of Ophthalmology I.A.P. for diabetic retinopathy 47% was younger than 60 years old affecting productive age, with best corrected visual acuity worst than 20/200 in 43%. Because of that it has the risk of blindness , so is very important to improve the screening programs of diabetic retinopathy for this population.

This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.

 

 

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