A study of the 3-year incidence of diabetic retinopathy in a French diabetic population seen at Lariboisiere Hospital, Paris

作者：Perol J^*; Balkau B; Guillausseau P J; Massin P

来源：DIABETES %26 METABOLISM, 2012, 38(3): 225-229.

DOI：10.1016/j.diabet.2012.01.001

• Diabetic retinopathy
• Incidence
• Risk factors
• Screening
• OPHDIAT (R)

Aim. - This study evaluated the incidence of diabetic retinopathy (DR) over a 3-year period in a French population that was followed by OPHDIAT (R), and assessed the clinical and biological risk factors associated with incident retinopathy. %26lt;br%26gt;Methods. - The studied patients were screened for DR during hospitalization for their annual diabetes check-up in the endocrinology department by two examinations three years apart. DR screening used the OPHDIAT (R) telemedical network, and the examination included clinical and biological data. %26lt;br%26gt;Results. - A total of 254 patients were studied. At the 3-year follow-up, the incidence was 14.0%, (CI: 9.5-18.4%). Longer duration of diabetes and the presence of micro- or macroalbuminuria were significantly associated with incident retinopathy (P %26lt; 0.05). Other potential risk factors were not statistically significantly related to DR progression, and only treatment with insulin showed a trend towards significance (P%26lt;0.20). %26lt;br%26gt;Conclusion. - This study provides the first French data on the incidence of DR, which was estimated after a 3-year follow-up at 14.0%. Longer duration of time from the onset of diabetes and higher baseline albuminuria were the only statistically significant risk factors found for the incidence of DR after our 3-year study. Nevertheless, microalbuminuria should be more widely used in ophthalmological practice in the assessment of DR, as is already the case for both blood pressure and HbA(1c).

• 出版日期2012-6