Current status of low vision in a population with opportunistic diabetes based on a physical examination center_West China Medical Journal

Authors：

LIU Zhenrong ¹ ,  ZHANG Ming ²

1. Health Management Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

ZHANG Ming, Email: zhangmingscu0905@163.com

Keywords：

Diabetes; low vision; physical examination; current situation of the disease; risk factors

DOI：

10.7507/1002-0179.202103128

Video：

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Objective To investigate the current status of visual disability in people with opportunistic diabetes based on the physical examination center, and explore its related factors. Methods People who went to West China Hospital of Sichuan University (West China Hospital district and Wenjiang hospital district) for physical examination between January 2019 and March 2020 were selected. The subjects were those who had a history of diabetes or fasting blood glucose≥7 mmol/L or glycosylated hemoglobin≥6.5%. They were divided into two groups according to visual acuity. The physical examinees with low vision were the observation group, and the physical examinees with normal vision were the control group (the number of cases was twice that of the observation group). The relevant data of the two groups were observed and compared, and the risk factors of low vision were analyzed by logistic regression. Results A total of 1 636 physical examinees with diabetes were included. There were 158 cases in the observation group and 316 cases in the control group. 158 cases (203 eyes) had low vision, and the incidence was 6.20% (203/3272). The main diseases leading to low vision were cataract (92 cases, 58.23%), high myopia (32 cases, 20.25%) and diabetes retinopathy (20 cases, 12.66%). Logistic regression analysis showed that the independent risk factors for low vision were age of diabetes patients, diabetes retinopathy, systolic blood pressure and glycosylated hemoglobin. Conclusions The incidence of low vision in diabetes population based on physical examination centers in Chengdu is low. Visual acuity examination should be strengthened for diabetes patients, especially the elderly, with diabetes retinopathy, high systolic blood pressure and glycosylated hemoglobin. Early effective prevention and treatment can reduce the damage to vision caused by diabetes.

Citation： LIU Zhenrong, ZHANG Ming. Current status of low vision in a population with opportunistic diabetes based on a physical examination center. West China Medical Journal, 2022, 37(5): 738-742. doi: 10.7507/1002-0179.202103128 Copy

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22.	李磊, 孔倩倩, 王麗, 等. 2 型糖尿病患者視網膜病變的危險因素分析. 檢驗醫學與臨床, 2019, 16(11): 1503-1505, 1508.
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26.	劉虎, 趙家良, 陸宏, 等. 我國九省眼病調查中北京市順義區 50 歲及以上人群盲和中、重度視力損傷患病率調查. 中華眼科雜志, 2012, 48(3): 199-204.
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1. International Diabetes Federation. IDF diabetes atlas 10th edition, 2021. https://diabetesatlas.org/data/en/world/.
2. 黃懷潔, 牛梅民, 楊怡. 糖尿病患者低視力的原因分析. 中國醫學工程, 2013, 21(12): 82-83.
3. Yang W, Lu J, Weng J, et al. Prevalence of diabetes among men and women in China. N Eng J Med, 2010, 362(12): 1090-1101.
4. 王寧利. 我國眼健康事業“基數”摸清. 中國衛生, 2020(7): 94-97.
5. 周莉, 周正, 韋曉丹, 等. 唐山地區糖尿病低視力患者的現狀調查及相關危險因素研究. 國際眼科雜志, 2017, 17(11): 2167-2169.
6. 中華醫學會眼科學分會眼底病學組, 中國醫師協會眼科醫師分會眼底病專業委員會. 我國糖尿病視網膜病變篩查的圖像采集及閱片指南 (2017 年). 中華眼科雜志, 2017, 53(12): 890-896.
7. 劉必紅, 劉必芳, 劉必玉, 等. 阜寧縣蘆蒲鎮 50 歲以上糖尿病患者盲與低視力的調查研究. 世界臨床醫學, 2016, 10(7): 237, 240.
8. Nalysnyk L, Hernandez-Medina M, Krishnarajah G. Glycaemic variability and complications in patients with diabetes mellitus: evidence from a systematic review of the literature. Diabetes Obes Metab, 2010, 12(4): 288-298.
9. 中華醫學會糖尿病學分會. 中國 2 型糖尿病防治指南(2013 年版). 中華糖尿病雜志, 2014, 6(7): 447-498.
10. 梁志偉, 周麗文, 張曉陽, 等. 基于移動互聯網眼底成像的糖尿病眼底病變防控模式與實踐研究. 中國數字醫學, 2016, 11(11): 2-5, 14.
11. 白雪林, 徐嫻, 陸敏, 等. 上海市新涇社區 2 型糖尿病患者盲和中重度視覺損傷的流行病學調查. 中華眼科雜志, 2016, 52(11): 825-830.
12. Zhao J, Ellwein LB, Cui H, et al. Prevalence of vision impairment in older adults in rural China: the China Nine-Province Survey. Ophthalmology, 2010, 117(3): 409-416.
13. 楊圓圓, 趙文軍, 張永康. 西安市雁塔區殘疾人致盲和低視力原因分析. 國際眼科雜志, 2017, 17(4): 737-739.
14. 張立新, 郭海科, 羅中伶, 等. 東莞市橫瀝社區中老年居民盲和低視力的患病率調查. 中華臨床醫師雜志(電子版), 2013, 7(10): 4558-4561.
15. Ebrahimi M, Heidari-Bakavoli AR, Shoeibi S, et al. Association of serum hs-CRP levels with the presence of obesity, diabetes mellitus, and other cardiovascular risk factors. J Clin Lab Anal, 2016, 30(5): 672-676.
16. 張立新, 崔穎, 孟倩麗, 等. 廣東省東莞市 2 型糖尿病患者盲與低視力患病率及原因分析. 眼科新進展, 2014, 34(1): 46-50.
17. GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet, 2016, 388(10053): 1545-1602.
18. Kahloun R, Khairallah M, Resnikoff S, et al. Prevalence and causes of vision loss in North Africa and Middle East in 2015: magnitude, temporal trends and projections. Br J Ophthalmol, 2019, 103(7): 863-870.
19. 趙孟涵, 王歡. 成都市健康管理中心體檢人群眼科檢查結果分析. 實用醫院臨床雜志, 2021, 18(2): 183-184.
20. 蔡文娟, 李洋, 門嵐, 等. 尿微量白蛋白/肌酐比值對糖尿病腎病早期診斷價值. 中國實驗診斷學, 2013, 17(9): 1650-1653.
21. 韋俊杰. 針對 2 型糖尿病合并高血壓患者不同病程的情況影響血脂和血糖代謝的臨床研究. 廣州醫科大學學報, 2016, 44(4): 61-64.
22. 李磊, 孔倩倩, 王麗, 等. 2 型糖尿病患者視網膜病變的危險因素分析. 檢驗醫學與臨床, 2019, 16(11): 1503-1505, 1508.
23. Rossino MG, Casini G. Nutraceutical for the treatment of diabetic retinopathy. Nutrients, 2019, 11(4): 771.
24. Jun JE, Jin SM, Jee JH, et al. TSH increment and the risk of incident type 2 diabetes mellitus in euthyroid subjects. Endocrine, 2017, 55(3): 944-953.
25. 孟靜. 原發性高血壓引起的視網膜病變的預防護理進展. 實用臨床護理學電子雜志, 2017, 2(50): 220-221.
26. 劉虎, 趙家良, 陸宏, 等. 我國九省眼病調查中北京市順義區 50 歲及以上人群盲和中、重度視力損傷患病率調查. 中華眼科雜志, 2012, 48(3): 199-204.
27. 師勇, 陳小玉, 陳家會. 2 型糖尿病患者甲狀腺激素與血糖、血脂代謝的相關性分析. 國際醫藥衛生導報, 2018, 24(24): 3819-3822.

West China Medical Journal

Current status of low vision in a population with opportunistic diabetes based on a physical examination center

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