Leading determinants of diabetic retinopathy in geriatric practice

DOI: https://doi.org/10.29296/25877305-2022-09-14
Issue: 
9
Year: 
2022

Associate Professor I. Lev, Candidate of Medical Sciences
Tambov Branch, Acad. S.N. Fyodorov National Medical Research Center «Intersectoral Research and Technical Complex “Eye Microsurgery”», Ministry of Health of Russia, Moscow

The prevalence of diabetic retinopathy (DR) is steadily growing not only due to an increase in the proportion of geriatric patients in the general population, but also due to a rise in the incidence of type 2 diabetes mellitus (T2DM). However, the determinants of DR in geriatric patients with T2DM have not been adequately investigated and they are contradictory. Objective. To analyze the determinants of DR in geriatric patients with T2DM. Subjects and methods. The investigation enrolled 356 patients aged 60–80 years with T2DM, who were divided into a study group of 182 patients with DR and T2DM and a control group of 174 patients with T2DM without DR. The patients of both groups were examined according to a unique procedure (a survey, determination of laboratory and instrumental parameters). Results. The clinical determinants favoring the development of DR more commonly included microvascular complications of T2DM, elevated systolic and diastolic blood pressures (SBP and DBP), and a hemoglobin level 140 mm Hg in 40.1±3.6 and 10.5±2.3%, DBP >90 mm Hg in 54.2±3.7 and 22.6±3.2%, and a hemoglobin level of
Keywords: 
elderly patients
diabetic retinopathy
determinants
prevention

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