A simple integrated primary health care based model for detection of diabetic retinopathy in resource-limited settings in Pakistani population | Riaz | Pakistan Journal of Medical Sciences
 
مبل راحتی صندلی مدیریتی صندلی اداری میز اداری وبلاگدهی گن لاغری بازی اندروید تبلیغات کلیکی آموزش زبان انگلیسی پاراگلایدر مارکت اندروید تور آهنگ محسن چاوشی مسیح و آرش پروتز سینه پروتز باسن پروتز لب میز تلویزیون

A simple integrated primary health care based model for detection of diabetic retinopathy in resource-limited settings in Pakistani population

Syed Hunain Riaz, Ali Jawa, Muhammad Zaman Khan Assir, Rashin Chaudhary, Farooq Awan, Javed Akram

Abstract


Objective: To find out prevalence of Diabetic Retinopathy in general population of three districts in Pakistan.

Methods: A community based cross-sectional survey was conducted in three large districts of Pakistan namely Rawalpindi in Punjab, Peshawar in Khyber Pakhtoonkhwa and Hyderabad in Sindh between January 2013 and August 2015. Lady Health Workers identified individuals at high risk for diabetes based on pre-defined criteria. High risk population was tested for dysglycemia. Fundoscopic evaluation for evidence of DR was performed in all individuals with a random blood glucose >190mg/dl. Individuals with the evidence of DR were referred to affiliated tertiary care ophthalmology departments.

Results: A total of 42,629 individuals reported at the project sites and 63% (n=26,859) were female. Fifty one percent (n=21,989) individuals met high risk criteria. Out of these 21,989 individuals, dysglycemia was found in 3,869 (17.6%). Fundoscopy showed evidence of DR in 1,042 (27%) individuals. Amongst high risk population, dysglycemia was significantly more common in females as compared to males. The frequency of DR in dysglycemic patients was comparable across both gender groups.

Conclusion: The prevalence of DR in Pakistani population is alarmingly high. This preventable cause of blindness is largely undiagnosed in our population and a simple integrated model based on primary health care facilities can help identify and treat a large population of DR patients.

doi: http://dx.doi.org/10.12669/pjms.325.10955

How to cite this:Jawa A, Assir MZK, Riaz SH, Chaudhary R, Awan F, Akram J. A simple integrated primary health care based model for detection of diabetic retinopathy in resource-limited settings in Pakistani population. Pak J Med Sci. 2016;32(5):1102-1106.   doi: http://dx.doi.org/10.12669/pjms.325.10955

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Full Text: PDF

Refbacks

  • There are currently no refbacks.


kalsob-01_1303_01