FREQUENCY OF DIABETIC RETINOPATHY IN HYPERTENSIVE DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL OF PESHAWAR, PAKISTAN
AbstractBackground: Diabetic retinopathy is a common microvascular complication of both type 1 and type 2diabetes mellitus. If left untreated, it can progress to serious visual disability. Coexistence ofhypertension with diabetes has been described as another risk factor adding to the problem. Wedesigned this study to assess the occurrence of diabetic retinopathy in hypertensive diabetic patients ofthis region and to compare it with normotensive diabetic patients. Methods: This cross-sectional studywas carried out on 200 previously diagnosed diabetic patients. Apart from routine examination andinvestigations, retinopathy and blood pressure assessment of each patient was done using standardtechniques. Hypertensive diabetic subjects (Group-I, n=107) were compared with non-hypertensivediabetics (Group-II, n=93) for the presence of retinopathy. Results: Retinopathy and hypertension wereobserved in 51% and 53.5% of the total diabetic patients respectively. Hypertensive diabetic patientshad significantly higher percentage of retinopathy compared to non-hypertensive diabetic patients (58vs 43%; p<0.05). Conclusion: Retinopathy and hypertension are highly prevalent in our diabeticpatients. The proportion of retinopathy is significantly more in hypertensive as compared tonormotensive diabetics.Keywords: Diabetes Mellitus, Diabetic Retinopathy, Hypertension, Prevalence, Tertiary care
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