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Dharmadhikari S, Lohiya K, Chelkar V, Kalyani VKS, Dole K, Deshpande M, Khandekar R, Kulkarni S. Magnitude and determinants of glaucoma in type II diabetics: A hospital based cross-sectional study in Maharashtra, India. Oman J Ophthalmol 2015; 8:19-23. [PMID: 25709269 PMCID: PMC4333537 DOI: 10.4103/0974-620x.149858] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Background: Glaucoma and diabetes have a common pathogenesis. We estimated the magnitude and determinants of glaucoma in adults with type II diabetes who presented to a tertiary level eye center in 2010. Study Type: A cross-sectional survey. Methods: Diabetes was diagnosed by history and measurement of blood sugar levels. Glaucoma was diagnosed by assessing optic disc morphology, visual fields, and intraocular pressure. Data were collected on patient demographics, clinical characteristics of diabetes and ocular status through interviews and measurements. The prevalence of glaucoma in diabetics was estimated, and variables were analyzed for an association to glaucoma. The 95% confidence intervals (CIs) were calculated. Statistical significance was indicated by P < 0.05. Results: The study cohort was comprised of 841 diabetics. The mean age of the cohort was 53.8 ± 10.7 years. There were 320 (38%) females. The prevalence of glaucoma was 15.6% (95% CI: 13.1-18.1). More than 75% of the diabetics had no evidence of diabetic retinopathy (DR). Half of the diabetics with glaucoma had primary open angle glaucoma. The presence of glaucoma was significantly associated to the duration of diabetes (Chi-square = 10.1, degree of freedom = 3, P = 0.001). The presence of DR was not significantly associated to the presence of glaucoma (odds ratio [OR] = 1.4 [95% CI: 0.88-1.2]). The duration of diabetes (adjusted OR = 1.03) was an independent predictor of glaucoma in at least one eye. Conclusions: More than one-sixth of diabetics in this study had glaucoma. Opportunistic screening for glaucoma during DR screening results in an acceptable yield of glaucoma cases.
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Affiliation(s)
- Sheetal Dharmadhikari
- Department of Ophthalmology, H. V. Desai Eye Hospital, Tardev, Mohammed Wadi, Hadapsar, Pune, Maharashtra, India
| | - Kavita Lohiya
- Department of Ophthalmology, H. V. Desai Eye Hospital, Tardev, Mohammed Wadi, Hadapsar, Pune, Maharashtra, India
| | - Vidya Chelkar
- Department of Ophthalmology, H. V. Desai Eye Hospital, Tardev, Mohammed Wadi, Hadapsar, Pune, Maharashtra, India
| | - V K S Kalyani
- Department of Ophthalmology, H. V. Desai Eye Hospital, Tardev, Mohammed Wadi, Hadapsar, Pune, Maharashtra, India
| | - Kuldeep Dole
- Department of Ophthalmology, H. V. Desai Eye Hospital, Tardev, Mohammed Wadi, Hadapsar, Pune, Maharashtra, India
| | - Madan Deshpande
- Department of Ophthalmology, H. V. Desai Eye Hospital, Tardev, Mohammed Wadi, Hadapsar, Pune, Maharashtra, India
| | - Rajiv Khandekar
- Department of Research, Ophthalmic Epidemiology and Low Vision Services, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
| | - Sucheta Kulkarni
- Department of Ophthalmology, H. V. Desai Eye Hospital, Tardev, Mohammed Wadi, Hadapsar, Pune, Maharashtra, India
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