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[Diabetes: why so many diabetic retinopathies diagnosed in the stage of complications?]
G Constantinides1, A Fourdrignier
1Service d'Ophtalmologie, Centre Régional Universitaire de Lille.
Purpose:
The aim of this study is to ascertain the reasons of the late diagnosis of severe diabetic retinopathies.
Methods:
We analysed 30 diabetic patients seen at the initial examination with severe diabetic retinopathies, including risk factors of diabetes, quality of maintenance of a metabolic balance in blood sugar levels and examination of the fundus.
Results:
Sixteen diabetic patients (53%) had no examination of the fundus from the onset of diabetes; 100% were over-weighted of more than 15%; 100% had no strict metabolic control of blood sugar levels; 90% had high blood pressure; 60% had familial diabetes.
Conclusion:
The prevention of late diagnosis of severe diabetic retinopathies must be based on the prevention of diabetes: examination and treatment of patients with high risk factors of diabetes. The prevention of diabetic retinopathy relies on the maintenance of a strict metabolic balance in blood sugar levels and required examination of the fundus every year.