DIABETES AND HYPERTENSION - A COMBO FOR DIABETIC RETINAL VASCULAR CHANGES

Dr. N. Vimal Kumar; Dr. A. Rohini

Volume : VII, Issue : IV, April - 2018

DIABETES AND HYPERTENSION - A COMBO FOR DIABETIC RETINAL VASCULAR CHANGES

Dr. N. Vimal Kumar, Dr. A. Rohini

Abstract :

Aim: To study the impact of systemic hypertension on diabetic retinopathy and maculopathy.

Materials and methods:

This was a bidirectional cohort observational study conducted on 100 patients. Informed consent was obtained. Detailed history regarding the age, duration of diabetes, family history of hypertension was recorded. Fundus fluorescein angiography was done after pupillary dilatation. Staging of diabetic retinopathy and grading of diabetic maculopathy were done.

Results:

39.17%of diabetic retinopathyand 43.41%of maculopathypatients had hypertension at presentation. There was statistically significant association of family history with incidence of macular edema in our study.Hypertension had significant correlation with progression of DR.Uncontrolled diastolic BP rather than systolic BP had significant association with development of macular edema in the follow up period. Retinal venous dilatation is an important indicator of ischaemicmaculopathy.

Conclusion:

Lifestyle modification, early diagnosis and treatment of both diabetes and hypertension, regular follow– up and fundus examination may favour best clinical and visual outcomes in these patients.