Prevalence of diabetic macular edema among type II diabetic patients in tele-screening program using OCT and fundus photos in a tertiary hospital, Riyadh, Saudi Arabia
摘要
To provide local data on the prevalence and risk factors of diabetic macular edema in the Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
MethodA cross-sectional cohort study was conducted to screen the prevalence of diabetic macular edema among diabetic patients, with 906 patients randomly selected between May 2023 and September 2023 in a tele-screening program using OCT and fundus photos at the Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
ResultsIn a sample of 906 diabetic patients who participated in a tele-screening program, 38 cases of diabetic macular edema (DME) were diagnosed, resulting in a prevalence of 4.19%. Males and females each composed 50% of the sample. The average age was 61.39 years (SD = 10.114), and 31.6% had diabetes for over 15 years. Most patients had comorbidities, including hypertension (86.8%) and dyslipidemia (89.5%). Diabetic complications were common: neuropathy was present in 23.6%, and nephropathy was present in 21%. Among the 48 eyes assessed, the mean central macular thickness was 315 ± 69 μm. The distribution of diabetic retinopathy severity in 48 eyes included 17 (35%) no retinopathy, 8 (17%) mild NPDR, 15 (31%) moderate NPDR, 7 (15%) severe NPDR, and 1 (2%) PDR. Center-involved DME was found in 45.8% of the eyes, whereas non-center-involved DME was observed in 54.2% of the eyes.
ConclusionThis study in Riyadh, Saudi Arabia, revealed a 4.19% prevalence of diabetic macular edema (DME), emphasizing the importance of regular screening, especially for patients with longstanding diabetes, hypertension, and dyslipidemia.