Fundus Camera as a Screening for Diabetic Retinopathy in AMC Yogyakarta Indonesia

Abstract

Backgrounds: Diabetes mellitus is a global burden disease. Indonesia ranks the seventh highest in the world with the number of patients reaching 8.5 million people. The highest prevalence of diabetes is in Yogyakarta. Diabetic retinopathy is the most common micro vascular complication, which is a leading cause of preventable blindness in working-aged people. Fundus Camera is used to capture images of the interior surface of the eye. It can be used to screening for diabetic retinopathy.Objective: To evaluate diabetic retinopathy screening using fundus camera in AMC Yogyakarta and its risk factors such as poor glicemic control, hypertension, and smoking

Methods: Cross sectional study, the number of sample was 45 patients suffering from diabetes mellitus during the period 2012-2014. Statistical test was Chi Square Test.Results: Significant correlation between duration of diabetes mellitus probability risk factor to develop diabetic retinopathy OR 0,215 95% CI: (0,087 to 0,529) (p 0.001), controlled blood glucose probability risk factor to increase severity of diabetic retinopathy OR 27 95% CI:(1,26 to 578) (p 0,041), and duration of diabetes mellitus probability risk factor that make severity of diabetic retinopathy worse (p 0,044). The others analysis result is not significant.Conclusion: Diabetic retinopathy was significantly correlated with a duration of diabetes mellitus, and severity of diabetic retinopathy was significantly correlated with controlled blood glucose and duration of diabetes mellitus.

Keywords: diabetic retinopathy, fundus camera, diabetes mellitus