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Related Concept Videos

Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

499
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
499

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Related Experiment Video

Updated: May 28, 2025

Quantification of Diabetes-induced Adherent Leukocytes in Retinal Vasculature
06:09

Quantification of Diabetes-induced Adherent Leukocytes in Retinal Vasculature

Published on: January 24, 2025

203

Diabetic Retinopathy Screening Adherence.

Pasha Anvari1, Reza Mirshahi1, Faezeh Hashemi Nezhad2

  • 1Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran; University of Medical Sciences, Tehran, Iran.

Romanian Journal of Ophthalmology
|February 12, 2025
PubMed
Summary
This summary is machine-generated.

Half of diabetic patients missed recommended retinopathy screenings. Non-adherence was linked to lower education, smoking, and lack of physician advice, with COVID-19 fear being a major barrier.

Keywords:
AAO = The American Academy of OphthalmologyADA = the American Diabetes AssociationBCVA = best-corrected visual acuityCOVIDCOVID = Coronavirus diseaseDM = diabetes mellitusDR = Diabetic retinopathyadherenceanti-VEGF = anti-vascular endothelial growth factor therapydiabetic retinopathyscreening guidelines

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Area of Science:

  • Ophthalmology
  • Endocrinology
  • Public Health

Background:

  • Diabetic retinopathy (DR) is a leading cause of vision loss in diabetic patients.
  • Regular screening is crucial for early detection and management of DR.
  • Adherence to screening guidelines remains a challenge in many diabetic populations.

Purpose of the Study:

  • To determine the adherence rate to diabetic retinopathy screening among diabetic patients.
  • To identify factors associated with non-compliance to regular DR screening.

Main Methods:

  • A cross-sectional study was conducted with 240 diabetic patients at four tertiary hospitals.
  • Data were collected using a validated questionnaire on socio-demographics, diabetes characteristics, knowledge, attitudes, and barriers.
  • Univariate and multivariate logistic regression analyses were used to identify factors associated with adherence.

Main Results:

  • Over 50% of diabetic patients were non-adherent to DR screening guidelines.
  • Smoking history, lower education levels, and lack of primary physician recommendation were significantly associated with non-adherence.
  • Fear of COVID-19, lack of information, and access to ophthalmologists were key barriers to screening.

Conclusions:

  • A significant proportion of diabetic patients exhibit non-adherence to recommended retinopathy screening.
  • Targeted patient education initiatives are essential, especially for individuals with lower education and smokers.
  • Addressing barriers like fear of infection and improving physician communication can enhance screening compliance.