Risk factors for diabetic retinopathy in diabetics screened using fundus photography at a primary health care setting in east Malaysia
Introduction: This study reports on the prevalence of diabetic retinopathy (DR) and risk factors among diabetic patients, who underwent fundus photography screening in a primary care setting of Borneo Islands, East Malaysia. We aimed to explore the preliminary data to help in the planning of more ef...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Academy of Family Physicians of Malaysia
2011
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| Online Access: | http://psasir.upm.edu.my/id/eprint/24700/ http://psasir.upm.edu.my/id/eprint/24700/1/Risk%20factors%20for%20diabetic%20retinopathy%20in%20diabetics%20screened%20using%20fundus%20photography%20at%20a%20primary%20health%20care%20setting%20in%20east%20Malaysia.pdf |
| _version_ | 1848845107973849088 |
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| author | Premsenthil, Mallika Lee, Ping Yein Cheah, Whye Lian Wong, Jin Shyan Syed Abdul Rahman, Syed Alwi Hassan, Nor Hayati Tan, Aik Kah |
| author_facet | Premsenthil, Mallika Lee, Ping Yein Cheah, Whye Lian Wong, Jin Shyan Syed Abdul Rahman, Syed Alwi Hassan, Nor Hayati Tan, Aik Kah |
| author_sort | Premsenthil, Mallika |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Introduction: This study reports on the prevalence of diabetic retinopathy (DR) and risk factors among diabetic patients, who underwent fundus photography screening in a primary care setting of Borneo Islands, East Malaysia. We aimed to explore the preliminary data to help in the planning of more effective preventive strategies of DR at the primary health care setting.
Materials and Methods: A cross-sectional study on 738 known diabetic patients aged 19-82 years was conducted in 2004.
Eye examination consists of visual acuity testing followed by fundus photography for DR assessment. The fundus pictures were reviewed by a family physician and an ophthalmologist. Fundus photographs were graded as having no DR, NPDR, PDR and maculopathy. The data of other parameters was retrieved from patient’s record. Bi-variate and multivariate analysis was used to elucidate the factors associated with DR.
Results: Any DR was detected in 23.7% (95% CI=21 to 27%) of the patients and 3.2% had proliferative DR. The risk factors
associated with any DR was duration of DM (OR =2.5, CI=1.6 to 3.9 for duration of five to 10 years when compared to <5 years) and lower BMI (OR=1.8, CI=1.1 to 3.0). Moderate visual loss was associated with DR (OR=2.1, CI=1.2 to 3.7).
Conclusions: This study confirms associations of DR with diabetic duration, body mass index and visual loss. Our data provide preliminary findings to help to improve the screening and preventive strategies of DR at the primary health care setting. |
| first_indexed | 2025-11-15T08:41:34Z |
| format | Article |
| id | upm-24700 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T08:41:34Z |
| publishDate | 2011 |
| publisher | Academy of Family Physicians of Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-247002019-11-25T09:00:28Z http://psasir.upm.edu.my/id/eprint/24700/ Risk factors for diabetic retinopathy in diabetics screened using fundus photography at a primary health care setting in east Malaysia Premsenthil, Mallika Lee, Ping Yein Cheah, Whye Lian Wong, Jin Shyan Syed Abdul Rahman, Syed Alwi Hassan, Nor Hayati Tan, Aik Kah Introduction: This study reports on the prevalence of diabetic retinopathy (DR) and risk factors among diabetic patients, who underwent fundus photography screening in a primary care setting of Borneo Islands, East Malaysia. We aimed to explore the preliminary data to help in the planning of more effective preventive strategies of DR at the primary health care setting. Materials and Methods: A cross-sectional study on 738 known diabetic patients aged 19-82 years was conducted in 2004. Eye examination consists of visual acuity testing followed by fundus photography for DR assessment. The fundus pictures were reviewed by a family physician and an ophthalmologist. Fundus photographs were graded as having no DR, NPDR, PDR and maculopathy. The data of other parameters was retrieved from patient’s record. Bi-variate and multivariate analysis was used to elucidate the factors associated with DR. Results: Any DR was detected in 23.7% (95% CI=21 to 27%) of the patients and 3.2% had proliferative DR. The risk factors associated with any DR was duration of DM (OR =2.5, CI=1.6 to 3.9 for duration of five to 10 years when compared to <5 years) and lower BMI (OR=1.8, CI=1.1 to 3.0). Moderate visual loss was associated with DR (OR=2.1, CI=1.2 to 3.7). Conclusions: This study confirms associations of DR with diabetic duration, body mass index and visual loss. Our data provide preliminary findings to help to improve the screening and preventive strategies of DR at the primary health care setting. Academy of Family Physicians of Malaysia 2011 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/24700/1/Risk%20factors%20for%20diabetic%20retinopathy%20in%20diabetics%20screened%20using%20fundus%20photography%20at%20a%20primary%20health%20care%20setting%20in%20east%20Malaysia.pdf Premsenthil, Mallika and Lee, Ping Yein and Cheah, Whye Lian and Wong, Jin Shyan and Syed Abdul Rahman, Syed Alwi and Hassan, Nor Hayati and Tan, Aik Kah (2011) Risk factors for diabetic retinopathy in diabetics screened using fundus photography at a primary health care setting in east Malaysia. Malaysian Family Physician, 6 (2&3). pp. 60-65. ISSN 1985-207X; ESSN: 1985-2274 http://www.afpm.org.my/ |
| spellingShingle | Premsenthil, Mallika Lee, Ping Yein Cheah, Whye Lian Wong, Jin Shyan Syed Abdul Rahman, Syed Alwi Hassan, Nor Hayati Tan, Aik Kah Risk factors for diabetic retinopathy in diabetics screened using fundus photography at a primary health care setting in east Malaysia |
| title | Risk factors for diabetic retinopathy in diabetics screened using fundus photography at a primary health care setting in east Malaysia |
| title_full | Risk factors for diabetic retinopathy in diabetics screened using fundus photography at a primary health care setting in east Malaysia |
| title_fullStr | Risk factors for diabetic retinopathy in diabetics screened using fundus photography at a primary health care setting in east Malaysia |
| title_full_unstemmed | Risk factors for diabetic retinopathy in diabetics screened using fundus photography at a primary health care setting in east Malaysia |
| title_short | Risk factors for diabetic retinopathy in diabetics screened using fundus photography at a primary health care setting in east Malaysia |
| title_sort | risk factors for diabetic retinopathy in diabetics screened using fundus photography at a primary health care setting in east malaysia |
| url | http://psasir.upm.edu.my/id/eprint/24700/ http://psasir.upm.edu.my/id/eprint/24700/ http://psasir.upm.edu.my/id/eprint/24700/1/Risk%20factors%20for%20diabetic%20retinopathy%20in%20diabetics%20screened%20using%20fundus%20photography%20at%20a%20primary%20health%20care%20setting%20in%20east%20Malaysia.pdf |