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Scholars Academic Journal of Biosciences | Volume-3 | Issue-08
Prevalence of Undiagnosed Glaucoma in Type 2 Diabetics Attending Outpatient Department at Regional Institute of Ophthalmology, Amritsar-A Hospital Based Study
Gupta K, Kulshrestha R, Chahal JS, Singh K, Aggarwal A, Gupta A, Trehan A
Published: Aug. 31, 2015 | 54 69
DOI: 10.36347/sajb.2015.v03i08.009
Pages: 687-691
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Abstract
Diabetes and glaucoma share common pathophysiology and diabetes increase the risk of developing glaucoma. However the significance and impact of thorough eye examination for glaucoma in all diabetics is not clear in literature. The study was thus planned to evaluate the prevalence of undetected glaucoma and its extent in type 2 diabetics attending OPD at Regional Institute of Ophthalmology, Amritsar, atertiary care center. 100 confirmed cases (history and fasting glucose measurement) of type 2 diabetics were enrolled from OPD. Known cases of glaucoma were excluded. Glaucoma was detected by thorough eye examination including visual acuity, intra ocular pressure (IOP), optic disc changes, visual field changes and gonioscopy. The prevalence with type and extent of glaucoma was observed. The age of patients ranged from 30 -75 years, with 51% males. Total prevalence of undetected glaucoma was 9%. Seven patients were suffering from chronic simple glaucoma out of which 4 were males and 3 were females. Only 1 male patient was suffering from neovascular glaucoma and 1 female patient was suffering from narrow angle glaucoma. Type 2 diabetics have a high prevalence of undetected glaucoma (9%).Thorough examination for glaucoma in all type 2 diabetics can produce an acceptable yield of glaucoma cases helping prevent later ocular morbidity.