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Characteristics and survival of diabetic patients undergoing vitreous surgery
Author(s) -
Summanen Paula,
Karhunen Ulla,
Laatikainen Leila
Publication year - 1987
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.1755-3768.1987.tb07000.x
Subject(s) - medicine , diabetes mellitus , gangrene , surgery , blood pressure , ischemia , dialysis , disease , diabetic nephropathy , renal function , urinary system , endocrinology
Characteristics, and the occurrence of other diseases, and complications related to diabetes mellitus of 91 consecutive diabetic patients who underwent vitreous surgery in 1979–1985 were examined. The mean age of the patients was 40 years (median 37, range 19–74), and the mean duration of diabetes 23 years (range 5–44). All, but one, had insulin therapy. Abnormalities in the cardiovascular and/or renal function were found in 89 of the 91 patients (98%). Signs of cardiovascular disease were observed in 58 patients (64%): 42%had elevated blood pressure (≥ 150/100 mmHg), 46% were on antihypertensive therapy, 14% had a hisltory or signs of ischaemic heart disease, 12% had been digitalized, 7% had a history of cerebral ischaemia, and 8% had had surgery for gangrene of the lower limb. Signs of nephropathy were recorded in 64 patients (70%); 6 of them were on dialysis therapy, and two had received a kidney transplant. Symptoms possibly related to autonomic neuropathy e.g. postural hypotension, urinary tract symptoms, and gastric discomfort were found in 27%. Nine patients (10%) had some kind of thyroid disease, and two of them signs of multiple autoimmune endocrinopathy. The percentage surviving decreased from 96% at one year to 80% after 5 years of follow‐up.