RISK FACTORS FOR CLINICALLY SIGNIFICANT MACULAR EDEMA IN NONPROLIFERATIVE DIABETIC RETINOPATHY PATIENTS

Dr Anjana G S, Dr Hrishikesh Amin, Dr Nameeth D'souza, Dr Vijay Pai

Abstract


Aim: To determine the risk factors for Clinically signicant macular edema (CSME) in Non proliferative diabetic retinopathy patients(NPDR).
Methods: This study was an unmatched case control hospital based study containing 92samples , 46 cases NPDR patients with CSME and 46 controls NPDR patients . A detailed history taking, Visual acuity assesment,slit lamp examination by 90D , indirect ophthalmoscopy by 20D and
conrmation of macular edema with OCT. Data collected were analysed for risk factors.
Observation: Most of the risk factors were found to be higher in CSME group except TLC and PLT. FBS,HbA1c,Total cholesterol,PCV,Serum urea and Urinary albumin have major role in developing CSME .Most of the patients were males, hypertensive, non smokers with moderate NPDR .Odds ratio was found to be higher for Hb,HbA1c,Serum urea and Urinary albumin.
Conclusions: Adequate control of risk factors and reduction of risk factors with greater odds ratio helps in reducing the prevalence of CSME.


Keywords


CSME,NPDR,Risk Factors.

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