z-logo
Premium
Review of the prevalence of diabetic retinopathy in Indigenous A ustralians
Author(s) -
Kaidonis Georgia,
Mills Richard A,
Landers John,
Lake Stewart R,
Burdon Kathryn P,
Craig Jamie E
Publication year - 2014
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1111/ceo.12338
Subject(s) - indigenous , medicine , diabetic retinopathy , diabetes mellitus , glycemic , diabetic macular edema , ophthalmology , demography , optometry , endocrinology , ecology , sociology , biology
The purpose of this review is to compare the prevalence of diabetic retinopathy ( DR ) between Indigenous and non‐Indigenous A ustralians with Diabetes Mellitus ( DM ). Australian DR prevalence data from 6 Indigenous studies ( n  = 2865) and 5 non‐Indigenous studies ( n  = 9801) conducted between 1985 and 2013 were included for analysis. Estimated prevalence of any DR among Indigenous A ustralians with DM was 23.4% compared with 28.9% for non‐Indigenous A ustralians (χ 2  = 26.9, P  < 0.001). In studies performed after 1990, a significantly higher rate of diabetic macular edema was found in Indigenous compared with non‐Indigenous Australians with DM (7.6% versus 4.9%, χ 2  = 6.67, P  = 0.01). Although there are limitations in comparing these studies, one explanation for the observed data could be a model in which Indigenous Australians are relatively resistant to early stage DR , but with a subset progressing to sight threatening DR due to individual genetic and environmental susceptibility factors coupled with poor glycemic control.

This content is not available in your region!

Continue researching here.

Having issues? You can contact us here