dc.contributor.author | Akpalu, Justina | |
dc.date.accessioned | 2014-02-03T08:02:23Z | |
dc.date.available | 2014-02-03T08:02:23Z | |
dc.date.issued | 2011 | |
dc.identifier.citation | Master Of Medicine In Ophthalmology, University of Nairobi, 2011 | en_US |
dc.identifier.uri | http://hdl.handle.net/11295/64463 | |
dc.description.abstract | Purpose: To determine the magnitude, pattern and level of awareness of diabetic retinopathy
among patients with diabetes mellitus at the Korle-Bu Teaching Hospital, Accra-Ghana.
Methods: This was a hospital based cross-sectional analytical study, conducted on diabetic
patients attending Korle-Bu Teaching Hospital. Participants were referred from the diabetic
centre and other departments who consented to the study. Visual acuity was assessed with the
use of Snellen's chart. They were assessed for diabetic retinopathy using stereoscopic
biomiscroscopy with a 90D and 20D loupe. Diabetic retinopathy was clinically graded using
Early Treatment Diabetic Retinopathy Study Guidelines. Blood pressure, fasting blood sugar and
HbA1c were measured. Level of awareness about diabetes mellitus and its effect on the retina
was assessed. Data was recorded in a questionnaire and analyzed using SPSS Version 16.0. A
significance level of 95% was used.
Results: Of the 313 participants examined, (204 were females and 104 males) with a mean age
of 55.3years. Their age range was from 22 to 82 years. Prevalence of diabetic retinopathy was
found to be 49.0%. Non proliferative diabetic retinopathy (NPDR) with cli ic-Ily significant
macula oedema (CSME) was found in 44 participants (14.1%), while severe non proliferative
diabetic retinopathy was found in 3 patients (1.0%). High risk proliferative diabetic retinopathy
(HRPDR) was found in 12 participants (3.8%) and vision threatening retinopathy (HRPDR) not
amenable to photocoagulation was found in 11 participants (3.5%). Diabetic retinopathy was
associated with long duration of diabetes, high blood pressure, high FBS and HbAlc. Awareness
that diabetes mellitus affects the eyes was found to be 76.0%. However only 61 patients (19.5%)
x
knew that diabetic retinopathy is a complication of diabetes mellitus. Type 2 diabetes was found
in 305 patients (97.0%), while 8 patients (3.0%) had type 1 DM. Majority of patients had seen an
"eye doctor (90.7%) but only 113had had eye examination.
Conclusion: NPDR with CSME was found in most of the participants. Majority did not know
about diabetic retinopathy (Diabetic eye disease).
Recommendation: There is the need for awareness creation among diabetics on diabetic
eye disease. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.title | Magnitude, Pattern And Level Of Awareness Of Diabetic Retinopathy At Korle-bu Teacidng Hospital Accra-ghana | en_US |
dc.title.alternative | Magnitude, Pattern And Level Of Awareness Of Diabetic Retinopathy At Korle-bu Teacidng Hospital Accra-ghana | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |