International Journal of Research in Medical Sciences | September 2018 | Vol 6 | Issue 9 Page 3152
International Journal of Research in Medical Sciences
Hansdak A et al. Int J Res Med Sci. 2018 Sep;6(9):3152-3155
www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012
Original Research Article
Screening for retinopathy, risk factors, adherence to treatment and
complications among diabetic and hypertensive individuals attending a
primary care centre in Puducherry, India
Amod Hansdak
1
, Saravanan V.
2
*, Manikandan
2
, Navin
2
, Joy Bazroy
2
, Velavan
2
, Anil J. Purty
2
INTRODUCTION
Globally, there is an increasing prevalence of non-
communicable diseases (NCD) especially diabetes and
hypertension with the risk of vision-threatening
retinopathies. An estimated 26% of the world’s
population (972 million people) has hypertension, and the
prevalence is expected to increase to 29% by 2025,
driven largely by increases in economically developing
nations.
1
The prevalence of diabetes is predicted to
double globally from 171 million in 2000 to 366 million
in 2030 with a maximum increase in India. It is predicted
that by 2030 diabetes mellitus may afflict up to 79.4
million individuals in India.
2
There is an increasing
prevalence and incidence of diabetes with increasing age
and adult age group are at high risk of developing
diabetic retinopathies.
3
Alcohol, smoking, level of
physical activity along with family history, duration and
adherence to treatment of NCD are potential risk factors
for development of retinopathies. This paper reports on
risk factors, adherence to treatment and complications
among known diabetic and hypertensive individuals
attending a primary care centre in a rural area of
Puducherry.
1
Department of Ophthalmology,
2
Department of Community Medicine, Pondicherry Institute of Medical Science,
Puducherry, India
Received: 12 July 2018
Accepted: 07 August 2018
*Correspondence:
Dr. Saravanan V.,
E-mail: saravana070@yahoo.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: The increasing prevalence and incidence of diabetes and hypertension with increasing age and adult
age group are at high risk of developing diabetic and hypertensive retinopathies.
Methods: The study was conducted in a rural area of Puducherry, data collection was carried over a period of six
months. Self-reported patients of diabetes and hypertension were included in the study and predesigned questionnaire
was used to collect the information about socio-demographic details, risk factors, physical activity, history related to
DM/HTN and history of fundus examination.
Results: Majority of patients screened for diabetes 56% and hypertension 47% was by government hospital. The
proportion of diabetics and hypertensives who had undergone fundus examination to rule out diabetic and
hypertensive retinopathy was found to be 29.3% (12) and 14.5% (10). Complications such as neuropathy and
retinopathy were given by 36.5% (15) and 2.4% (1) of diabetic patients Two third of the patients 64.1% had sedentary
life style.
Conclusions: Health care providers need to plan for larger coverage of fundus examination among diabetic and
hypertensive patients.
Keywords: Diabetic retinopathy, Sedentary lifestyle, Screening
DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20183661