Citation:Ngah NF,Muhamad NA,Asnir ZZ,Aziz RAA,Kassim ZM,Sahar SA,Tarmidzi NAA,Yen CL,Uthman R,Satar N,Husain NZ,Adnan A,Kayalakakathu JM,Kadas B,Mohamad NS,Kassim SA.Descriptive assessment on diabetic retinopathy screening in an awareness programme in Malaysia.Int J Ophthalmol 2020;13(11):1808-1813,doi:10.18240/ijo.2020.11.19
Descriptive assessment on diabetic retinopathy screening in an awareness programme in Malaysia
Received:March 06, 2020  Revised:May 13, 2020
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DOI:10.18240/ijo.2020.11.19
Key Words:diabetic retinopathy  retinal disease awareness programme  eye screening  Selangor
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Nor Fariza Ngah Department of Ophthalmology, Shah Alam Hospital, Selangor 40000, Malaysia
Nor Asiah Muhamad Sector for Evidence Based Healthcare, National Institutes of Health, Ministry of Health, Selangor 40170, Malaysia; Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor 40170, Malaysia
Zalifa Zakiah Asnir Department of Ophthalmology, Ampang Hospital, Selangor 68000, Malaysia
Roslin Azni Abdul Aziz Department of Ophthalmology, Shah Alam Hospital, Selangor 40000, Malaysia
Zaidah Mhad Kassim Department of Ophthalmology, Serdang Hospital, Selangor 43000, Malaysia
Siti Aishah Sahar Department of Ophthalmology, Putrajaya Hospital, Federal Territory 62250, Malaysia
Nor Azita Ahmad Tarmidzi Department of Ophthalmology, Kuala Lumpur Hospital, Federal Territory 50586, Malaysia
Chan Li Yen Department of Ophthalmology, Tengku Ampuan Rahimah Hospital, Selangor 41200, Malaysia
Rosmawati Uthman Department of Ophthalmology, Selayang Hospital, Selangor 68100, Malaysia
Narjis Satar Department of Ophthalmology, Sungai Buloh Hospital, Selangor 47000, Malaysia
Noor Zahirah Husain Department of Ophthalmology, Kuala Lumpur Hospital, Federal Territory 50586, Malaysia
Azian Adnan Department of Ophthalmology, Selayang Hospital, Selangor 68100, Malaysia
John Mathen Kayalakakathu Department of Ophthalmology, Sungai Buloh Hospital, Selangor 47000, Malaysia
Bariyah Kadas Selangor State Health Department, Ministry of Health, Selangor 40100, Malaysia
Noor Suriani Mohamad Department of Ophthalmology, Tengku Ampuan Rahimah Hospital, Selangor 41200, Malaysia
Shaiful Azlan Kassim Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor 40170, Malaysia
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Abstract:
      AIM: To determine the prevalence of diabetic retinopathy (DR) among diabetic patients at the primary health clinics in Selangor, Malaysia.

    METHODS: All diabetic patients were screened in Retinal Disease Awareness Programme (RDAP) and those who had significant DR changes were referred to the hospital for further management. Descriptive analyses were done to determine the prevalence of DR and sociodemographic characteristics among patients with diabetic. Univariate and multivariable analysis using Logistic regression were performed to find association and predictor factors in this screening.

    RESULTS: A total of 3305 patients aged 40y and above were screened for DR. Of the patients screened, 9% patients were found to have DR and other visual complication such as maculopathy (0.9%), cataract (4.8%) and glaucoma (0.4%). The mean age of patients without retinopathy was 57.82±8.470y and the mean age of patients with DR was 63.93±9.857y. About 61.5% of the patients screened were aged below 60y and 38.5% were aged 60y and above. Majority of the patients screened were women 58.5% and Malay in the age group of 50-59y, while 27% were aged 60-69y. Significant association were found between age, sex, race, visual loss and DR.

    CONCLUSION: Although the prevalence of DR among patients is not alarming, effective interventions need to be implemented soon to avert a large burden of visual loss from DR.

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