Population based assessment of diabetic retinopathy in an urban population in southern India

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Abstract
AIM To assess the prevalence of diabetic retinopathy and the visual impairment caused by it in an urban population in southern India in order to determine its public health significance. METHODS 2522 subjects (85.4% of those eligible), a representative sample of the population of Hyderabad city in southern India, underwent interview and detailed dilated eye examination during 1996–7 as part of the Andhra Pradesh Eye Disease Study. RESULTS 124 subjects, all ⩾30 years old, reported that they had diabetes, an age-sex adjusted prevalence of 7.82% (95% confidence interval (CI) 5.76–9.88%) in this age group. Diabetes was diagnosed at age ⩾30 years in all but two subjects. The duration since diagnosis of diabetes was CONCLUSION Visual impairment due to diabetic retinopathy was relatively uncommon in this urban Indian population in 1996–7. However, this could change in the near future with an increase in duration of diabetes because of the anticipated aging of India’s population and the recent suggestion of increase in diabetes prevalence in urban India, and therefore should be monitored.