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THE PREVALENCE OF RETINOPATHY IN INSULIN‐DEPENDENT JUVENILE‐ONSET DIABETES MELLITUS ‐A FLUORESCEIN‐ANGIOGRAPHIC STUDY
Author(s) -
JERNELD BENGT,
ALGVERE PEEP
Publication year - 1984
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1984.tb03974.x
Subject(s) - medicine , diabetes mellitus , retinopathy , diabetic retinopathy , fluorescein angiography , pediatrics , ophthalmology , age of onset , endocrinology , visual acuity , disease
A fluorescein‐angiographic study was performed comprising all 171 insulin‐dependent diabetics with debut at ≤ 40 years of age who were census registered on the island of Gotland 1981–82. Children under 15 years of age were excluded. The overall prevalence of diabetic retinopathy was 66%, being 11% at 0–5 years duration of diabetes, 42% at 6–10 years, 84% at 11–15 years, 90% at 16–30 years and 100% after 30‐years duration. Proliferative retinopathy was first seen after 11 years duration, it had a prevalence of 18% and was twice as common in females as in males. Neovascularization was seen in 25% of patients with IDDM debut at ≤ 20 years of age and in only 7% of those with IDDM debut at 21–40 years ( P < 0.01). Pigment epithelial defects were found in 91 subjects (56%).