Two-field mydriatic fundus photography to assess the prevalence of macular disorder in diabetes
<p> T.A. Avanesova<sup>1,2</sup>, J.G. Oganezova<sup>3,4,</sup> V.V. Anisimova<sup>5</sup>, A.B. Baeva<sup>3,6</sup>, D.H. Miaev<sup>1</sup> </p> <p> <sup>1</sup>LLC "Liga+”, Reutov, Russian Federation...
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2024-09-01
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Series: | РМЖ "Клиническая офтальмология" |
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author | T.A. Avanesova Zh.G. Oganezova V.V. Anisimova A.B. Baeva D.H. Miaev |
author_facet | T.A. Avanesova Zh.G. Oganezova V.V. Anisimova A.B. Baeva D.H. Miaev |
author_sort | T.A. Avanesova |
collection | DOAJ |
description | <p>
T.A. Avanesova<sup>1,2</sup>, J.G. Oganezova<sup>3,4,</sup> V.V. Anisimova<sup>5</sup>, A.B. Baeva<sup>3,6</sup>, D.H. Miaev<sup>1</sup>
</p>
<p>
<sup>1</sup>LLC "Liga+”, Reutov, Russian Federation
</p>
<p>
<sup>2</sup>LLC "Eye Microsurgery Center of Moscow Region", Sergiev Posad, Russian Federation
</p>
<p>
<sup>3</sup>Pirogov Russian National Research Medical University, Moscow, Russian Federation
</p>
<p>
<sup>4</sup>Research Center for Medical Genetics, Moscow, Russian Federation
</p>
<p>
<sup>5</sup>Central Clinical Hospital and Polyclinic of the Department for Presidential Affairs, Moscow, Russian Federation
</p>
<p>
<sup>6</sup>Hospital for War Veterans No. 2, Moscow, Russian Federation
</p>
<p>
<b>Aim:</b> to evaluate the prevalence of macular dysfunction in patients with type 1 (T1D) and type 2 diabetes (T2D) of different age and sex based on fundus photographs.
</p>
<p>
<b>Materials and Methods:</b> this work is part of a study involving medical institutions of five cities of the Russian Federation. 367 patients with diabetes (34.88% males and 65.12% females; mean age 50.88±20.55 years) were enrolled, including 34.88% with T1D and 65.12% with T2D. The mean disease duration was 9.02±7.22 years. 58.31% of the patients had a history of hypertension and 13.08% a history of smoking. The ophthalmologists evaluated two-field fundus photographs and graded the changes as M0 (no diabetic changes in the macula) or M1 (diabetic changes in the macula). Non-diabetic changes were not included in the analysis. The presence of exudates, microaneurysms or hemorrhages within 1 DD from the center of the fovea, circular or clustered exudates in the macular area were evaluated.
</p>
<p>
<b>Results: </b>diabetic maculopathy (DM) was found in 47 (12.81%) patients. DM was associated with diabetic retinopathy (DR) in 18 (4.90%) patients. DM was mainly observed in patients with T2D (15.90%), in women (8.45%) and bilaterally (8.17%). There were no significant differences in visual acuity between patients with and without diabetes. There was a trend towards an increased prevalence of DM in older patients with a history of T2D of 15–25 years (p>0.05). No significant differences were found in the incidence of DM and DM+DR according to glycated hemoglobin (HbA1c) levels. DM developed in 11.11% of patients with HbA1c≤7.5% and in 15.79% of patients with HbA1c>7.5% (p=0.260). There was a trend towards an increased prevalence of DM in smokers (20.83% vs. 11.60% in non-smokers, p=0.120). Elevated blood pressure did not affect the incidence of DM.
</p>
<p>
<b>Conclusion: </b>these findings (some of which were presented in the previous publication and will be presented in the next one) emphasize the efficacy of two-field mydriatic fundus photography as a screening tool for diabetic retinopathy and maculopathy.
</p>
<p>
<b>Keywords: </b>diabetes, retina, diabetic maculopathy, diabetic retinopathy, diabetic macular edema, screening, fundus photography, prevalence, two-field photography, risk groups.
</p>
<p>
<b>For citation: </b>Avanesova T.A., Oganezova J.G., Anisimova V.V., Baeva A.B., Miaev D.H. Two-field mydriatic fundus photography to assess the prevalence of macular disorder in diabetes. Russian Journal of Clinical Ophthalmology. 2024;24(3):102–108 (in Russ.). DOI: 10.32364/2311-7729-2024-24-3-1.
</p> |
format | Article |
id | doaj-art-65936adad6374334a1faf8c44def425a |
institution | Kabale University |
issn | 2311-7729 2619-1571 |
language | Russian |
publishDate | 2024-09-01 |
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record_format | Article |
series | РМЖ "Клиническая офтальмология" |
spelling | doaj-art-65936adad6374334a1faf8c44def425a2025-01-16T09:39:38ZrusPrime-MediaРМЖ "Клиническая офтальмология"2311-77292619-15712024-09-0124331753Two-field mydriatic fundus photography to assess the prevalence of macular disorder in diabetesT.A. Avanesova0Zh.G. Oganezova1V.V. Anisimova2A.B. Baeva3D.H. Miaev4Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399<p> T.A. Avanesova<sup>1,2</sup>, J.G. Oganezova<sup>3,4,</sup> V.V. Anisimova<sup>5</sup>, A.B. Baeva<sup>3,6</sup>, D.H. Miaev<sup>1</sup> </p> <p> <sup>1</sup>LLC "Liga+”, Reutov, Russian Federation </p> <p> <sup>2</sup>LLC "Eye Microsurgery Center of Moscow Region", Sergiev Posad, Russian Federation </p> <p> <sup>3</sup>Pirogov Russian National Research Medical University, Moscow, Russian Federation </p> <p> <sup>4</sup>Research Center for Medical Genetics, Moscow, Russian Federation </p> <p> <sup>5</sup>Central Clinical Hospital and Polyclinic of the Department for Presidential Affairs, Moscow, Russian Federation </p> <p> <sup>6</sup>Hospital for War Veterans No. 2, Moscow, Russian Federation </p> <p> <b>Aim:</b> to evaluate the prevalence of macular dysfunction in patients with type 1 (T1D) and type 2 diabetes (T2D) of different age and sex based on fundus photographs. </p> <p> <b>Materials and Methods:</b> this work is part of a study involving medical institutions of five cities of the Russian Federation. 367 patients with diabetes (34.88% males and 65.12% females; mean age 50.88±20.55 years) were enrolled, including 34.88% with T1D and 65.12% with T2D. The mean disease duration was 9.02±7.22 years. 58.31% of the patients had a history of hypertension and 13.08% a history of smoking. The ophthalmologists evaluated two-field fundus photographs and graded the changes as M0 (no diabetic changes in the macula) or M1 (diabetic changes in the macula). Non-diabetic changes were not included in the analysis. The presence of exudates, microaneurysms or hemorrhages within 1 DD from the center of the fovea, circular or clustered exudates in the macular area were evaluated. </p> <p> <b>Results: </b>diabetic maculopathy (DM) was found in 47 (12.81%) patients. DM was associated with diabetic retinopathy (DR) in 18 (4.90%) patients. DM was mainly observed in patients with T2D (15.90%), in women (8.45%) and bilaterally (8.17%). There were no significant differences in visual acuity between patients with and without diabetes. There was a trend towards an increased prevalence of DM in older patients with a history of T2D of 15–25 years (p>0.05). No significant differences were found in the incidence of DM and DM+DR according to glycated hemoglobin (HbA1c) levels. DM developed in 11.11% of patients with HbA1c≤7.5% and in 15.79% of patients with HbA1c>7.5% (p=0.260). There was a trend towards an increased prevalence of DM in smokers (20.83% vs. 11.60% in non-smokers, p=0.120). Elevated blood pressure did not affect the incidence of DM. </p> <p> <b>Conclusion: </b>these findings (some of which were presented in the previous publication and will be presented in the next one) emphasize the efficacy of two-field mydriatic fundus photography as a screening tool for diabetic retinopathy and maculopathy. </p> <p> <b>Keywords: </b>diabetes, retina, diabetic maculopathy, diabetic retinopathy, diabetic macular edema, screening, fundus photography, prevalence, two-field photography, risk groups. </p> <p> <b>For citation: </b>Avanesova T.A., Oganezova J.G., Anisimova V.V., Baeva A.B., Miaev D.H. Two-field mydriatic fundus photography to assess the prevalence of macular disorder in diabetes. Russian Journal of Clinical Ophthalmology. 2024;24(3):102–108 (in Russ.). DOI: 10.32364/2311-7729-2024-24-3-1. </p>http://clinopht.com/upload/iblock/cb6/1ptjc04cfhaa09gbgcjae4jiw8cylpoq.pdf |
spellingShingle | T.A. Avanesova Zh.G. Oganezova V.V. Anisimova A.B. Baeva D.H. Miaev Two-field mydriatic fundus photography to assess the prevalence of macular disorder in diabetes РМЖ "Клиническая офтальмология" |
title | Two-field mydriatic fundus photography to assess the prevalence of macular disorder in diabetes |
title_full | Two-field mydriatic fundus photography to assess the prevalence of macular disorder in diabetes |
title_fullStr | Two-field mydriatic fundus photography to assess the prevalence of macular disorder in diabetes |
title_full_unstemmed | Two-field mydriatic fundus photography to assess the prevalence of macular disorder in diabetes |
title_short | Two-field mydriatic fundus photography to assess the prevalence of macular disorder in diabetes |
title_sort | two field mydriatic fundus photography to assess the prevalence of macular disorder in diabetes |
url | http://clinopht.com/upload/iblock/cb6/1ptjc04cfhaa09gbgcjae4jiw8cylpoq.pdf |
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