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RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 2 eISSN:  pISSN

Original Article

Prevalence and Risk Factors For Cataract In Type 2 Diabetes Mellitus

Farhat Fathima*, Ravindra B **, Kruthika S P * * *

*Assistant Professor, Department Ophthalmology, SDM Medical College, Dharwad, **Professor, * * * Postgraduate, Department of Ophthalmology, JJM Medical College, Davangere

 

Corresponding author:

Dr. Farhat Fathima Assistant Professor Department of Ophthalmology SDMCMSH, Dharwad.

Year: 2016, Volume: 6, Issue: 4, Page no. 135-138,
Views: 567, Downloads: 7
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CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

The present study was done to assess the prevalence and Risk Factors for Cataract in Type - 2 Diabetes Mellitus. 750 patients aged more than 40 years and fulfilled WHO criteria and who attended Outpatient department of Ophthalmology and Medicine at JJM Medical College during November 2012 to September 2014 were enrolled for the study. Grading of lens opacity was done according to the Lens Opacities Classification System (LOCS) III system. Prevalence of cataract In Type 2 Diabetes was 65.60%. 109 (22.15%) cases were newly detected and 383 (77.85%) cases had long-standing diabetes (p = 0.0032). Patients on OHA's had higher Incidence of cataract (p=0.0021). There was no association between nature of work and development of cataract (p=0.5472). There was statistical significance between positive family history of diabetes and cataract (p=0.0271). Mixed cataract was seen in 70.52% and monotype in 29.48% patients. A combination of nuclear, cortical and posterior subcapsular cataract had highest incidence with 42.26%. Mean FBS was 176.44mg/dl (p=0.00001) and mean HbAlc was 8.29% (p=0.00001) in cataract group and both were statistically significant. Nearly two thirds of the diabetic population showed evidence of cataract. Increasing age, female, longer duration of diabetes, positive family history of diabetes, diabetics on OHA's agent, poorglycemiccontrol i.e. raised FBS and high 

<p>The present study was done to assess the prevalence and Risk Factors for Cataract in Type - 2 Diabetes Mellitus. 750 patients aged more than 40 years and fulfilled WHO criteria and who attended Outpatient department of Ophthalmology and Medicine at JJM Medical College during November 2012 to September 2014 were enrolled for the study. Grading of lens opacity was done according to the Lens Opacities Classification System (LOCS) III system. Prevalence of cataract In Type 2 Diabetes was 65.60%. 109 (22.15%) cases were newly detected and 383 (77.85%) cases had long-standing diabetes (p = 0.0032). Patients on OHA's had higher Incidence of cataract (p=0.0021). There was no association between nature of work and development of cataract (p=0.5472). There was statistical significance between positive family history of diabetes and cataract (p=0.0271). Mixed cataract was seen in 70.52% and monotype in 29.48% patients. A combination of nuclear, cortical and posterior subcapsular cataract had highest incidence with 42.26%. Mean FBS was 176.44mg/dl (p=0.00001) and mean HbAlc was 8.29% (p=0.00001) in cataract group and both were statistically significant. Nearly two thirds of the diabetic population showed evidence of cataract. Increasing age, female, longer duration of diabetes, positive family history of diabetes, diabetics on OHA's agent, poorglycemiccontrol i.e. raised FBS and high&nbsp;</p>
Keywords
Diabetes Mellitus
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