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ORIGINAL ARTICLE
Year : 2018  |  Volume : 19  |  Issue : 3  |  Page : 196-200

Prevalence of diabetic retinopathy among children with type 1 diabetes mellitus treated by insulin


1 Department of Ophthalmology, Magrabi Eye Hospital, Damanhour Teaching Hospital, Tanta, Egypt
2 Department of Pediatrics, Damanhour Teaching Hospital, Tanta, Egypt
3 Department of Public Health and Community Medicine, Faculty of Medicine, Menofia University, Menofia, Egypt

Correspondence Address:
Emad E.M Elgemai
Department of Ophthalmology, Magrabi Eye Hospital, Damanhour Teaching Hospital, 31511 Tanta
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/DJO.DJO_15_18

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Purpose Among children and young adults, type 1 diabetes mellitus (DM) is the commonest type to occur as a result of defects in insulin secretion and/or insulin action. It is usually treated by insulin or insulin analogs. This work was done to study the prevalence of diabetic retinopathy (DR) among diabetic children with type 1 DM treated with insulin. Patients and methods This is a cross-sectional study that was carried out in Damnhour Teaching Hospital. It included 115 children with type 1 DM from 6 to 14 years of age. All patients were subjected to full fundus examination and were then classified according to its results into patients with DR and patients without DR. Risk factors associated with retinopathy were assessed in those patients. Results The mean age of the patients was 9.70±1.94 years and 55.7% were males. DR was found in 12 (10.4%) patients, eight of whom had retinopathy in one eye and four had retinopathy in both eyes. Mild nonproliferative DR was found in 11/230 (4.8%) eyes and moderate nonproliferative DR was found in 5/230 (2.2%) eyes. A significant positive correlation was found between the grade of retinopathy and the duration of diabetes (r=0.37; P<0.01), fasting blood glucose (r=0.36; P<0.01), and glycosylated hemoglobin (r=0.38; P<0.01). Conclusion The prevalence of DR was 10.4% among all studied patients and 7.0% among all studied eyes. The grade of retinopathy was directly related to the duration of DM, fasting blood glucose, and glycosylated hemoglobin levels.


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