Original Research Paper
Study on Clinical correlation of diabetic retinopathy including CSME with nephropathy
Purpose:To evaluate the presence of diabetic retinopathy in patients with nephropathy and to correlate the severity of CSME to that of diabetic nephropathy.Methods:This prospective non interventional hospital-based study included 100 consecutive cases of DR, presenting to the eye OPD between January 2019 and January 2020 with minimum 3-year duration of Type 2 DM. Complete ophthalmic examination was done and DR was classified according to early treatment diabetic retinopathy study classification(ETDRS). Diabetic nephropathy was classified based on urine albumin creatinine ratio and estimated GFR. Results:The study was conducted on 100 patients of whom 76 were males and 24 females. Mild NPDR was present in 48 patients, moderate in 27 patients, severe in 20 patients, and PDR in 5 patients. In our study 38 patients presented with CSME from which maximum number had macroalbuminuria suggesting significant kidney disease.Conclusion:The association of CSME and grading of DR with severity of diabetic nephropathy can be used as a marker for progression of nephropathy in patients with DM.
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