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Diabetic maculopathy in a Jamaican population.
B J Moriarty1, D T Dunn, A P Moriarty
1Medical Research Council Laboratories, University of the West Indies, Jamaica.
International Ophthalmology
|September 1, 1989
Summary
Diabetic maculopathy is a leading cause of vision loss in Jamaican diabetics. Nearly half of patients assessed had maculopathy, with diabetes duration being a significant risk factor.
Area of Science:
- Ophthalmology
- Diabetology
- Public Health
Background:
- Diabetic retinopathy is a significant cause of visual impairment globally.
- Maculopathy, a complication of diabetic retinopathy, is the most frequent cause of severe vision loss in Jamaican diabetic patients.
Purpose of the Study:
- To determine the prevalence of maculopathy in black Jamaican patients with maturity onset diabetes.
- To identify risk factors associated with maculopathy in this population.
Main Methods:
- Ophthalmic assessment of 158 randomly referred black Jamaican patients with maturity onset diabetes.
- Statistical analysis to identify risk factors for maculopathy.
Main Results:
- Maculopathy was detected in 48% of the assessed patients.
- A longer duration of diabetes was a statistically significant risk factor for maculopathy (p < 0.001).
Conclusions:
- Diabetic maculopathy is highly prevalent in this Jamaican cohort.
- Diabetes duration is a critical risk factor, and poor adherence to therapy may contribute to maculopathy prevalence.