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Ophthalmology and Allied Sciences

Volume  4, Issue 2, May - August 2018, Pages 88-92
 

Original Article

Effect of Blood Pressure in Progression of Diabetic Retinopathy

Taklikar Anupama R.1, Nanda Sadanand2

1Professor and Head 2Post Graduate Student, Department of Ophthalmology, Navodaya Medical College, Raichur, Karnataka 584103, India

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DOI: DOI: http://dx.doi.org/10.21088/oas.2454.7816.4218.6

Abstract

 Objective: To analyze the role of blood pressure in predicting progression of diabetic retinopathy. Materials and Methods: This prospective clinical study was done on patients with diabetic retinopathy attending the OPD of department of Ophthalmology & those willing to participate this study. Sample size: 50 patients based on inclusion criteria will be registered, evaluated & followed up subsequently for 12 months. Inclusion criteria Patients with type I OR Type II diabetes who have diabetic retinopathy

changes with or without macular edema (according to ETDRS classification). Exclusion criteria 1. Venous & arterial occlusion, post panretinal photocoagulation status, post anti-VEGF injection status, patients with posterior uveitis & glaucoma. 2. End stage patients who would not cooperate for fundoscopy. 3. Patients less than 18 years of age. Results: The increased risk of proliferative retinopathy was associated with the presence of hypertension at baseline. 43% of patients in moderate NPDR, 56% of severe group
and 47% of very severe NPDR group were hypertensive. Conclusion: To conclude, in this study patients having hypertension are at high risk for progression and hence these patients should be followed up at frequent intervals and should be instituted appropriate treatment. 
 
Keywords: Diabetes; Hypertension; Diabetic Retinopathy.

Corresponding Author : Anupama Raju Taklikar, Professor and Head, Department of Ophthalmology, Navodaya Medical College, Raichur, Karnataka 584103