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Prevalence of Undiagnosed Eye Disease in High-Risk Diabetic Individuals
J. Michael Sprafka, MPH, PhD;
Theodore L. Fritsche, MD;
Richard Baker, MD;
Donna Kurth;
David Whipple
Arch Intern Med. 1990;150(4):857-861.
Abstract
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• A total of 533 diabetic individuals using the Marshall, Minn, medical care system were identified as potential subjects for a study of unrecognized eye disease. Of these, 172 (32%) stated they had never had an ophthalmologic eye examination and subsequently were defined as being at high risk for unrecognized diabetic eye disease. Ophthalmic examination was performed on 145 (84%) of these high-risk individuals and revealed that 61% had clinical characteristics consistent with diabetic retinopathy, glaucoma, cataract, or other eye abnormalities. Twenty-five (17%) of these subjects presented with eye disease that required immediate treatment, referral, or accelerated follow-up. Of those indicating they had an ophthalmologist, approximately 35% reported a time since last visit of 2 years or greater. These findings indicate a high prevalence of ocular morbidity among diabetic individuals who are not under routine ophthalmic surveillance and suggest that improvements in patient and professional compliance with recommended guidelines for eye care are warranted.
(Arch Intern Med. 1990;150:857-861)
Author Affiliations
From the Division of Epidemiology, School of Public Health, University of Minnesota (Drs Sprafka and Baker) and the Division of Health Promotion and Education, Minnesota Department of Health (Mr Whipple), Minneapolis; and the Southwest Ophthalmology Associates (Dr Fritsche) and the Area Resource Center for Diabetes (Ms Kurth), Marshall, Minn.
Footnotes
Accepted for publication July 31,1989.
Reprint requests to Division of Epidemiology, School of Public Health, University of Minnesota, Stadium Gate 27,611 Beacon St SE, Minneapolis, MN 55455 (Dr Sprafka).
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