Abstract

Aim: To discover the incidence of diabetic retinopathy; to identify the influence of optimizing different parameters on progression of diabetic retinopathy in diabetic patients from Maramureş. Methods and Material: We done a prospective study of 1269 persons with diabetes mellitus registered in healthcare system in Maramureş County. We analysed the differences between 2007 and 2008 regarding different parameters (glycated haemoglobin - HbA1c, hypertension, lipid profile, body mass index - BMI and abdominal circumference). We analysed the influence of these modifications on the progression of diabetic retinopathy. Results: In 2007 the total number of patients with diabetic retinopathy was 246 but in 2008 the total number of patients with diabetic retinopathy increased to 250. In 2007 the total number of patients with diabetic maculopathy was 40 but in 2008 the total number of patients with diabetic maculopathy increased to 46. There was no significant influence after one year in optimizing glycaemic control (p=0.302) or cholesterol level (p=0.292) or triglycerides levels (p=0.054) or HDL level (p=0.831) or hypertension (p=0.413) or BMI (0.063) or abdominal circumference (p=0.068). Conclusions: Diabetes retinopathy incidence was 4 in 1269 or 0.3%. After one year any improvement in diabetes management has no significant positive influence on progression of diabetic retinopathy.

Keywords

Diabetes, Retinopathy, Progression, Incidence.