“OCULAR MANIFESTATIONS OF DIABETES MELLITUS IN RELATION TO THE DURATION OF DIABETES AND GLYCAEMIC CONTROL – A STUDY AT A TERTIARY HEALTH CARE CENTRE”

BackGround: Diabetes mellitus results in considerable morbidity and mortality, affecting about 180 million peopleworldwide.The primary complications of diabetes due to damage in small blood vessels include damage to the eyes,kidneys,and nerves.Damage to the eyes,known as diabetic retinopathy,is caused by damage to the blood vessels in theretina of the eye,and can result in gradual vision loss and eventual blindness.Usually,a diabetic patient seeks the adviceof ophthalmologist only when the ocular condition is in the advance stage.It is therefore,essential to examine the fundusand anterior segment of eye of every diabetic patient periodically at regular intervals,to detect early cases.This studywas done to analyze the relation of duration and glycaemic control of diabetes to ocular manifestations among patientsattending AGMC & GBP Hospital.Materials and Methods: This crossectional study was carried out on patients of Department of Ophthalmology atAGMC & GBP Hospital from October 2017 to April 2019.A total 85 adult subject (both male and females) of all age groupwere included in this study.Detailed eye examination and blood investigation like blood sugar and HbA1C was done.Results: The study showed that 26 (30.6%) patients had mild NPDR, 11(12.9%) patients had moderate NPDR, 8(9.4%)patients had severe NPDR, 2(2.4%) patients had PDR and 38(44.7%) patients had normal retina in right eye. 22(25.9%)patients had mild NPDR,10(11.8%) patients had moderate NPDR,7(8.2%) patients had severe NPDR,1(1.2%) patient hadPDR and 45(52.9%) patients had no retinopathy left eye.