Title: Diabetic Retinopathy Severity in patients with Diabetic Foot Syndrome
Authors: Dr Abhishek Padha, Dr Swati Sharma
DOI: https://dx.doi.org/10.18535/jmscr/v8i9.16
Abstract
Background: Diabetes is a common comorbidity in today’s world with many complications. Diabetic retinopathy and diabetic foot ulcer are frequently encountered complications of diabetes and account for a large number of hospital visits.
Objective: The purpose of conducting this study is to access the retinopathy status of patients with diabetic foot syndrome and to evaluate any relation between their severities.
Methods: Patients with diabetic foot syndrome visiting GMC Doda over a period of one and half month were subjected to ophthalmoscopic examination for documentation of their diabetic retinopathy severity.
Results: Twenty five patients were enrolled in the study, all of whom had type 2 DM of at least 5 years duration. All patients had some degree of diabetic neuropathy and associated diabetic foot syndrome. No correlation was found between the severity of diabetic retinopathy and that of diabetic foot syndrome (p value = .56).
Conclusion: Our study did not find any correlation between the severity of diabetic retinopathy and that of diabetic foot syndrome.
Keywords: Diabetic foot, Diabetic retinopathy, neuropathy.
References
- Saeedi P, Salpea P, Karuranga S, et al. Mortality attributable to diabetes in 20-79 year old adults,2019 estimates. Diabetes Res Clin Pract. 2020;108086.
- Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care 2004;27:1047‑53.
- Huo L, Shaw JE, Wong E, Harding JL, Peeters A, Magliano DJ, et al. Burden of diabetes in Australia: Life expectancy and disability‑free life expectancy in adults with diabetes. Diabetologia 2016;59:1437‑45.
- Pendsey SP. Understanding Diabetic Foot. Int J Diabetes Dev Ctries. 2010;75-79.
- Palumbo PJ, Melton LJ. Peripheral vascular disease and Diabetes. In: Harris MI, Hamman RF, editors. Diabetes in America. Washin-gton: US Govt. Printing Office;1985;16-21.
- Shah K, Gandhi A, Natarajan S. Diabetic retinopathy awareness and associations with multiple comorbidities: Insights from DIAMOND study. Indian J Endocr Metab 2018;22; 30-35.
- Early treatment Diabetic Retinopathy Study Research Group. 1991;98(5 Suppl):766-85.
- International Working Group on the Diabetic Foot Guidelines; 2015. Available from: http://www.iwgdf.org/guidelines/ definitions criteria 2015.
- Karam T, Kamath YS, Rao LG. Diabetic Retinopathy in patients with Diabetic foot syndrome in South India. Indian J Ophthalmol.2018 Apr;66(4):547-50.
- Hwang DJ, Lee KM, Park MS, Choi Sh, Park JI, Cho JH, et al. (2017) Association between diabetic foot ulcer and diabetic retinopathy. PLoS ONE 12(4):e0175270.