Current status of low vision in a population with opportunistic diabetes based on a physical examination center_West China Medical Journal

Authors：

LIU Zhenrong ¹ ,  ZHANG Ming ²

1. Health Management Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZHANG Ming, Email: zhangmingscu0905@163.com

Keywords：

Diabetes; low vision; physical examination; current situation of the disease; risk factors

DOI：

10.7507/1002-0179.202103128

Video：

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Objective To investigate the current status of visual disability in people with opportunistic diabetes based on the physical examination center, and explore its related factors. Methods People who went to West China Hospital of Sichuan University (West China Hospital district and Wenjiang hospital district) for physical examination between January 2019 and March 2020 were selected. The subjects were those who had a history of diabetes or fasting blood glucose≥7 mmol/L or glycosylated hemoglobin≥6.5%. They were divided into two groups according to visual acuity. The physical examinees with low vision were the observation group, and the physical examinees with normal vision were the control group (the number of cases was twice that of the observation group). The relevant data of the two groups were observed and compared, and the risk factors of low vision were analyzed by logistic regression. Results A total of 1 636 physical examinees with diabetes were included. There were 158 cases in the observation group and 316 cases in the control group. 158 cases (203 eyes) had low vision, and the incidence was 6.20% (203/3272). The main diseases leading to low vision were cataract (92 cases, 58.23%), high myopia (32 cases, 20.25%) and diabetes retinopathy (20 cases, 12.66%). Logistic regression analysis showed that the independent risk factors for low vision were age of diabetes patients, diabetes retinopathy, systolic blood pressure and glycosylated hemoglobin. Conclusions The incidence of low vision in diabetes population based on physical examination centers in Chengdu is low. Visual acuity examination should be strengthened for diabetes patients, especially the elderly, with diabetes retinopathy, high systolic blood pressure and glycosylated hemoglobin. Early effective prevention and treatment can reduce the damage to vision caused by diabetes.

Citation： LIU Zhenrong, ZHANG Ming. Current status of low vision in a population with opportunistic diabetes based on a physical examination center. West China Medical Journal, 2022, 37(5): 738-742. doi: 10.7507/1002-0179.202103128 Copy

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14.	张立新, 郭海科, 罗中伶, 等. 东莞市横沥社区中老年居民盲和低视力的患病率调查. 中华临床医师杂志(电子版), 2013, 7(10): 4558-4561.
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20.	蔡文娟, 李洋, 门岚, 等. 尿微量白蛋白/肌酐比值对糖尿病肾病早期诊断价值. 中国实验诊断学, 2013, 17(9): 1650-1653.
21.	韦俊杰. 针对 2 型糖尿病合并高血压患者不同病程的情况影响血脂和血糖代谢的临床研究. 广州医科大学学报, 2016, 44(4): 61-64.
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25.	孟静. 原发性高血压引起的视网膜病变的预防护理进展. 实用临床护理学电子杂志, 2017, 2(50): 220-221.
26.	刘虎, 赵家良, 陆宏, 等. 我国九省眼病调查中北京市顺义区 50 岁及以上人群盲和中、重度视力损伤患病率调查. 中华眼科杂志, 2012, 48(3): 199-204.
27.	师勇, 陈小玉, 陈家会. 2 型糖尿病患者甲状腺激素与血糖、血脂代谢的相关性分析. 国际医药卫生导报, 2018, 24(24): 3819-3822.

1. International Diabetes Federation. IDF diabetes atlas 10th edition, 2021. https://diabetesatlas.org/data/en/world/.
2. 黄怀洁, 牛梅民, 杨怡. 糖尿病患者低视力的原因分析. 中国医学工程, 2013, 21(12): 82-83.
3. Yang W, Lu J, Weng J, et al. Prevalence of diabetes among men and women in China. N Eng J Med, 2010, 362(12): 1090-1101.
4. 王宁利. 我国眼健康事业“基数”摸清. 中国卫生, 2020(7): 94-97.
5. 周莉, 周正, 韦晓丹, 等. 唐山地区糖尿病低视力患者的现状调查及相关危险因素研究. 国际眼科杂志, 2017, 17(11): 2167-2169.
6. 中华医学会眼科学分会眼底病学组, 中国医师协会眼科医师分会眼底病专业委员会. 我国糖尿病视网膜病变筛查的图像采集及阅片指南 (2017 年). 中华眼科杂志, 2017, 53(12): 890-896.
7. 刘必红, 刘必芳, 刘必玉, 等. 阜宁县芦蒲镇 50 岁以上糖尿病患者盲与低视力的调查研究. 世界临床医学, 2016, 10(7): 237, 240.
8. Nalysnyk L, Hernandez-Medina M, Krishnarajah G. Glycaemic variability and complications in patients with diabetes mellitus: evidence from a systematic review of the literature. Diabetes Obes Metab, 2010, 12(4): 288-298.
9. 中华医学会糖尿病学分会. 中国 2 型糖尿病防治指南(2013 年版). 中华糖尿病杂志, 2014, 6(7): 447-498.
10. 梁志伟, 周丽文, 张晓阳, 等. 基于移动互联网眼底成像的糖尿病眼底病变防控模式与实践研究. 中国数字医学, 2016, 11(11): 2-5, 14.
11. 白雪林, 徐娴, 陆敏, 等. 上海市新泾社区 2 型糖尿病患者盲和中重度视觉损伤的流行病学调查. 中华眼科杂志, 2016, 52(11): 825-830.
12. Zhao J, Ellwein LB, Cui H, et al. Prevalence of vision impairment in older adults in rural China: the China Nine-Province Survey. Ophthalmology, 2010, 117(3): 409-416.
13. 杨圆圆, 赵文军, 张永康. 西安市雁塔区残疾人致盲和低视力原因分析. 国际眼科杂志, 2017, 17(4): 737-739.
14. 张立新, 郭海科, 罗中伶, 等. 东莞市横沥社区中老年居民盲和低视力的患病率调查. 中华临床医师杂志(电子版), 2013, 7(10): 4558-4561.
15. Ebrahimi M, Heidari-Bakavoli AR, Shoeibi S, et al. Association of serum hs-CRP levels with the presence of obesity, diabetes mellitus, and other cardiovascular risk factors. J Clin Lab Anal, 2016, 30(5): 672-676.
16. 张立新, 崔颖, 孟倩丽, 等. 广东省东莞市 2 型糖尿病患者盲与低视力患病率及原因分析. 眼科新进展, 2014, 34(1): 46-50.
17. GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet, 2016, 388(10053): 1545-1602.
18. Kahloun R, Khairallah M, Resnikoff S, et al. Prevalence and causes of vision loss in North Africa and Middle East in 2015: magnitude, temporal trends and projections. Br J Ophthalmol, 2019, 103(7): 863-870.
19. 赵孟涵, 王欢. 成都市健康管理中心体检人群眼科检查结果分析. 实用医院临床杂志, 2021, 18(2): 183-184.
20. 蔡文娟, 李洋, 门岚, 等. 尿微量白蛋白/肌酐比值对糖尿病肾病早期诊断价值. 中国实验诊断学, 2013, 17(9): 1650-1653.
21. 韦俊杰. 针对 2 型糖尿病合并高血压患者不同病程的情况影响血脂和血糖代谢的临床研究. 广州医科大学学报, 2016, 44(4): 61-64.
22. 李磊, 孔倩倩, 王丽, 等. 2 型糖尿病患者视网膜病变的危险因素分析. 检验医学与临床, 2019, 16(11): 1503-1505, 1508.
23. Rossino MG, Casini G. Nutraceutical for the treatment of diabetic retinopathy. Nutrients, 2019, 11(4): 771.
24. Jun JE, Jin SM, Jee JH, et al. TSH increment and the risk of incident type 2 diabetes mellitus in euthyroid subjects. Endocrine, 2017, 55(3): 944-953.
25. 孟静. 原发性高血压引起的视网膜病变的预防护理进展. 实用临床护理学电子杂志, 2017, 2(50): 220-221.
26. 刘虎, 赵家良, 陆宏, 等. 我国九省眼病调查中北京市顺义区 50 岁及以上人群盲和中、重度视力损伤患病率调查. 中华眼科杂志, 2012, 48(3): 199-204.
27. 师勇, 陈小玉, 陈家会. 2 型糖尿病患者甲状腺激素与血糖、血脂代谢的相关性分析. 国际医药卫生导报, 2018, 24(24): 3819-3822.

West China Medical Journal

Current status of low vision in a population with opportunistic diabetes based on a physical examination center

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