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Prevalence Of Diabetic Retinopathy In A Primary Care Setting Using Digital Retinal Imaging Technology
Keah Say Hien1, Chng Kooi Seng2
1Elizabeth Medical Centre, Muar, Johor.
Summary
Diabetic retinopathy and maculopathy are highly prevalent in primary care, affecting nearly half and over half of patients with type 2 diabetes, respectively. Early detection via digital retinal imaging is crucial, especially given high rates in patients with diabetes duration of 5 years or less.
Area of Science:
- Ophthalmology
- Endocrinology
- Primary Care Medicine
Background:
- Diabetic retinopathy is a leading cause of preventable blindness.
- Early detection and management of diabetic retinopathy are critical in primary care settings.
- Digital retinal imaging offers a promising tool for screening and diagnosis.
Purpose of the Study:
- To determine the prevalence of diabetic retinopathy in a primary care population.
- To quantify the severity of diabetic retinopathy using established scales.
- To assess the utility of digital retinal imaging in primary care for diabetic eye disease.
Main Methods:
- A cohort of 200 patients with type 2 diabetes was recruited from a primary care setting.
- Clinical evaluation and fundus photography using digital retinal imaging technology were performed.
- Internationally accepted severity scales were used to grade retinopathy and maculopathy.
Main Results:
- The prevalence of diabetic retinopathy was 47.4%.
- The prevalence of diabetic maculopathy was 59.2%.
- A significant proportion (34.7%) had both retinopathy and maculopathy, often with short diabetes duration (≤5 years).
Conclusions:
- A high prevalence of diabetic retinopathy and maculopathy exists in primary care.
- Digital retinal imaging is effective for detecting diabetic eye disease in this setting.
- The findings highlight the need for proactive screening and management in early-stage diabetes.

