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ORIGINAL ARTICLE
Year : 2015  |  Volume : 18  |  Issue : 2  |  Page : 183-188

Clinical features of diabetes retinopathy in elderly patients with type 2 diabetes in Northern Chinese


1 Department of Ophthalmology, Beijing Hospital, Chinese Ministry of Health, Beijing, China
2 The Key Laboratory of Geriatrics, Beijing Hospital and Beijing Institute of Geriatrics, Chinese Ministry of Health, Beijing 100730, China

Correspondence Address:
Z Yang
No: 1, DaHua Road, Dong Dan, Beijing 100730
China
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Source of Support: This study was funded by the National Natural Science Foundation of China (30972709, 81061120527, 81241082, 81370445), the National Department Public Benefit Research Foundation by the Ministry of Health P. R. China (201302008) and 12th 5.year National Plan Program from the Ministry of Scientific Technology (2012BAI10B01) of China,, Conflict of Interest: None


DOI: 10.4103/1119-3077.151038

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Objective: The objective was to estimate the prevalence and clinical characteristics of diabetes retinopathy (DR) in elderly individuals with type 2 diabetes mellitus in Northern Chinese. Materials and Methods: 595 eligible subjects (263 men, 332 women) assisted by the community health service center in Beijing, China were involved with averaged 70.6 ΁ 8.8 years old and male ratio is 0.44. All subjects were interviewed face to face by questionnaire and underwent the extensive physical examinations including ophthalmologic and systemic conditions. Results: Prevalence of DR was 17.1% and DR was significantly associated with nephropathy (odds ratio [OR]: 4.17, 95% confidence interval [CI]: 1.829-17.577, P = 0.001), arteriosclerosis of retina (OR: 0.41, 95% CI: 0.207-1.102, P = 0.01), diabetic foot gangrene, (OR: 5.32, 95% CI: 1.674-30.063, P = 0.001), diabetic neuropathy (OR: 5.23, 95% CI: 2.896-17.334, P = 0.001), hypertension (HTN) (OR: 1.70, 95% CI: 0.990-3.923, P = 0.05). Clinical characteristics of DR by risk factors analysis were polydipsia (OR: 2.73, 95% CI: 1.716-6.567, P = 0.001), polyuria (OR: 2.06, 95% CI: 1.303-5.005, P = 0.001), polyphagia (OR: 1.80, 95% CI: 1.127-4.499, P = 0.01), weakness (OR: 2.00, 95% CI: 1.264-4.825, P = 0.001), high blood lipid (45.76%), high blood sugar (22.89%), and renal dysfunction (12.33%). Conclusions: Diabetes retinopathy in elderly diabetes patients in Northern Chinese is prevalent and associated with these chronic complications such as HTN, nephropathy, arteriosclerosis of retina, diabetic foot gangrene, and diabetic neuropathy.


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