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Jurnal Oftalmologi Indonesia

ISSN 1693-2587

Vol. 5 / No. 2 / Published : 2007-08

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Original Article :

Gambaran retinopati diabetik pada kunjungan pertama penderita diabetes melitus di unit rawat jalan mata rsu dr. soetomo surabaya

Author :

  1. Kitriastuti*1
  2. Moestidjab*2
  1. Bag./SMF Ilmu Penyakit Mata Fakultas Kedokteran UNAIR/RSU Dr. Soetomo Surabaya
  2. Bag./SMF Ilmu Penyakit Mata Fakultas Kedokteran UNAIR/RSU Dr. Soetomo Surabaya

Abstract :

Objective: To know the pattern of diabetic retinopathy (DR) in diabetic patient first entry. Material and Methods: It was descriptive study recruited 200 outpatients of ophthalmology department Dr. Soetomo Hospital between Agustus 2006 until February 2007. Every responden were checked for DR with direct ophthalmoscope and classified in three categories of DR and degree of illness (DI). Result : There were 397 eyes evaluated, 3 were pthysis. 246 eyes (69%) complained about blurred vision. 370 eyes were evaluated on macula area, 14 eyes had cataract, 9 eyes had tractional retinal detactment, 7 eyes had aged macular degeneration. Blurred vision with diabetic maculopathy were found in 59 eyes (15.94%). 390 eyes were evaluated foe the degree of DR, 7 eyes had cataract, 3 eyes were pthysis. Patients consulted from internal department: 9 patient (4.5%) who had first DI were new, 16 patients (8%) had second DI, 3 patients (1.5%) had third DI. 2 patients (1%) who had first DI were not control to ophthalmology department for more than one year. Duration of DM < 5 years were found on 50 eyes, 12.82% with non proliferative DR (NPDR), 12 eyes (3.08%) with preproliverative DR (Pre PDR), 24 eyes (6.15%) with proliverative DR (PDR). Duration of 5 - 10 years: 20 eyes (5.13%) were NPDR, 2 eyes (0.51%) were PrePDR, 23 eyes (5.9%) were PDR. Duration of 15 years 11 eyes (2.82%) NPDR, 2 eye (0.51%) were Pre PDR, 14 eyes (3.59%) were PDR. Duration of DM with DI for 5 years: 7 patients (3.5%) were first DI, 17 (8.5%) were second DI, 2 (1%) were third DI. For 5 - 10 years: 4 patients (2%) had first DI, 9 patients (4.5%) were second DI, 3 (1.5%) had third DI. For 10-15 years: 3 patients (1.5%) were second DI, 3 (1.5%) were third DI. For 15 years: 2 (1%) had first DI, 4 patients (2%) had second DI, 2 patients (1%) had third DI. Conclusion : RD is a major cause of preventable blindness which needs more awareness of diabetic patients, medical and government to reduce its handicap.

Keyword :

diabetic retinopathy, diabetes mellitus, degree of illness,


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