SEVERITY OF RETINOPATHY IN WELL CONTROLLED DIABETIC PATIENTS WITH AND WITHOUT DYSLIPIDEMIA

Abstract

ABSTRACT
Objective: To compare the severity of diabetic retinopathy in well controlled type 2 diabetic patients with and without
Dyslipidemia.
Introduction: Diabetic retinopathy is the most common cause of blindness influenced by the risk factors and predicated
by duration of diabetes mellitus. Higher the level of HbA1C%, hypertension and abdominal obesity are risk factors for
the development of retinopathy. Controlled levels of Blood pressure and hypercholesterolemia provide major clinical
benefit in reducing the risk of blindness in patients with diabetic retinopathy.
Methodology: The study was conducted at Khyber Institute of Ophthalmic Medical Sciences (KIOMS) Hayatabad
Medical Complex, Peshawar, from 4th April 2009 to 4th April 2010. It was descriptive case series study. Non probability
purposive sampling technique was used.
Results: A total number of patients studied were 150. Age of the patients was 58.13+4.16 years. Male to female ratio
was found to be 1:1. Diabetic retinopathy grading shows that NPDR was found 69(46%), PDR was 66(44%) and ADED
was found 15(10%). Study group were separated into two groups on the basis of dyslipidemia. Majority of dyslipidemia
was found in age range of 56-65 years (81, 54%). NPDR and ADED were more common in male while PDR was
common in female diabetic patients.
Conclusion: It concludes that there is strong co-relation between severity of diabetic retinopathy and dyslipidemia.
Patients having poor status of dyslipidemia have worse diabetic retinopathy. By keeping a good control level of serum
lipid profile level in type-II diabetic, we can control the progression of severity diabetic retinopathy.
Key Words: Diabetic retinopathy, Dyslipidemia, NPDR, ADED
Authors: 
Manzoor Ali
Muhammad Idris
Hameed Ullah

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