Jurnal Kedokteran Diponegoro
Vol 11, No 1 (2022): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)

ASSOCIATION BETWEEN THE DEGREE OF DIABETIC RETINOPATHY AND DIABETIC MACULAR EDEMA

Andhika Guna Dharma (Department of Ophthalmology, Faculty of Medicine, Universitas Diponegoro)
Maharani Maharani (Department of Ophthalmology, Faculty of Medicine, Universitas Diponegoro)
Riski Prihatningtias (Department of Ophthalmology, Faculty of Medicine, Universitas Diponegoro)
Muhamad Taufik Mahar (Department of Ophthalmology, Faculty of Medicine, Universitas Diponegoro)
Henry Setiawan (Department of Public Health, Faculty of Public Health, Universitas Diponegoro)
Ayu Anggraini Kusumaningrum (Department of Ophthalmology, Faculty of Medicine, Universitas Diponegoro)
Arief Wildan (Department of Ophthalmology, Faculty of Medicine, Universitas Diponegoro)



Article Info

Publish Date
29 Jan 2022

Abstract

INTRODUCTION: WHO estimates more than 150 million diabetes patients worldwide. One of the complications of diabetes is diabetic retinopathy which is recognized as the leading cause of blindness in the working-age population and the cause of 12% of new cases of blindness each year due to macular edema, vitreous hemorrhage, and tractional retinal detachment. Macular edema is the most common cause of decreased visual acuity. The relationship between macular edema and the degree of retinopathy is unclear, so further research is needed. This study aimed to analyze the incidence of macular edema with the degree of diabetic retinopathy.METHOD: This study used a cross-sectional method. Samples were taken from the Retina Data Register at the National Diponegoro Hospital Eye Polyclinic of all diabetic retinopathy patients who attended National Diponegoro Hospital from July to December 2020 who were recruited as participants. The variables measured included the incidence of macular edema and the degree of diabetic retinopathy. Measurements using fundoscopy, slit lamp and condensing lens + 78D according to ETDRS (Early Treatment Diabetic Retinopathy Study) criteria by an ophthalmologist. Data analysis used a bivariate difference test for 2 groups. The statistical test used was the Kruskal-Wallis test, which was significant if p ≤ 0.05.RESULTS: In this study, out of 150 eyes examined, 28 (18.7%) had macular edema. 4 (2.7%) eyes were diagnosed with Moderate NPDR, 3 (2%) eyes were diagnosed with Severe NPDR. In eyes diagnosed with PDR with or without VH or TRD, 21 (14%) eyes had macular edema. The p-value was 0.03 with the Kruskal-Wallis test, where p ≤ 0.05.CONCLUSION: There is a significant difference between the degree of diabetic retinopathy and the incidence of macular edema. The incidence of macular edema is higher in the more severe degrees of diabetic retinopathy.

Copyrights © 2022






Journal Info

Abbrev

medico

Publisher

Subject

Medicine & Pharmacology

Description

JKD : JURNAL KEDOKTERAN DIPONEGORO ( ISSN : 2540-8844 ) adalah jurnal yang berisi tentang artikel bidang kedokteran dan kesehatan karya civitas akademika dari Program Studi Kedokteran Umum, Fakultas Kedokteran, Universitas Diponegoro Semarang dan peneliti dari luar yang membutuhkan publikasi . ...