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Effect of Blood Pressure in Progression of Diabetic Retinopathy

Anupama Raju Taklikar, Professor and Head, Department of Ophthalmology, Navodaya Medical College, Raichur, Karnataka 584103 , Taklikar Anupama R.1 , Nanda Sadanand2

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Ophthalmology and Allied Sciences 4(2):p 88-92, May - August 2018. | DOI: DOI: http://dx.doi.org/10.21088/oas.2454.7816.4218.6

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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.

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

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