Journal of Postgraduate Medicine
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LETTER
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Year : 2009  |  Volume : 55  |  Issue : 3  |  Page : 232-233  

Primary prevention of diabetic retinopathy for the rural population

V Wiwanitkit 
 Wiwanitkit House, Bangkhae, Bangkok - 10160, Thailand

Correspondence Address:
V Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok - 10160
Thailand




How to cite this article:
Wiwanitkit V. Primary prevention of diabetic retinopathy for the rural population.J Postgrad Med 2009;55:232-233


How to cite this URL:
Wiwanitkit V. Primary prevention of diabetic retinopathy for the rural population. J Postgrad Med [serial online] 2009 [cited 2019 Aug 21 ];55:232-233
Available from: http://www.jpgmonline.com/text.asp?2009/55/3/232/57394


Full Text

Sir,

The article by Rani et al., on risk factors for diabetic retinopathy in the rural population has focused on a very pertinent issue. [1] Indeed, diabetic nephropathy, a major complication of diabetes mellitus is usually inadequately managed by the primary care physicians, leading to a poor quality of life due to blindness. A self-report might be an effective tool for primary screening, if there is a systematic reporting system. The reliability of report of a case is the main focus. Tapp et al., have shown that the self-reporting system was moderately useful in prediction of diabetic retinopathy.[2] Similar risk factors could be detected in this study. In addition to the self-reporting system, the annual primary screening by the primary healthcare center might be an additional useful preventive protocol. Additional screening by retinal photography assessment has also been shown to be useful to determine pathological changes, if any, in the retina. In fact, a combination of self-reporting system and retinal photography have been successfully implemented for screening for diabetic retinopathy in the rural settings in Mauritius, a developing country. [3]

References

1Rani PK, Raman R, Chandrakantan A, Pal SS, Perumal GM, Sharma T. Risk factors for diabetic retinopathy in self-reported rural population with diabetes. J Postgrad Med 2009;55:92-6.
2Tapp RJ, Zimmet PZ, Harper CA, de Courten MP, McCarty DJ, Balkau B, et al. Diagnostic thresholds for diabetes: The association of retinopathy and albuminuria with glycaemia. Diabetes Res Clin Pract 2006;73:315-21.
3Tapp RJ, Zimmet PZ, Harper CA, McCarty DJ, Chitson P, Tonkin AM, et al. Six year incidence and progression of diabetic retinopathy: Results from the Mauritius diabetes complication study. Diabetes Res Clin Pract 2006;73:298-303.

 
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