Diabetic retinopathy and the major causes of vision loss in Aboriginals from remote Western Australia

Clinical & Experimental Ophthalmology
Antony ClarkDao-Yi Yu

Abstract

To report on diabetic retinopathy (DR) and the major causes of vision loss and blindness in Aboriginals in the Eastern Goldfields region of Western Australia between 1995 and 2007. Aboriginals (>16 years old) diagnosed with diabetes or eye problems from 11 communities in the Eastern Goldfields region of Western Australia were examined annually from 1995 to 2007. Data collected from prospective clinical examination included; visual acuity (VA), causes of vision loss, and whether DR was present. Severity of DR was graded according to the Early Treatment of Diabetic Retinopathy Study modified Airlie House grading system. A total of 920 Aboriginals underwent 1331 examinations over the study period. There were 246 eyes with vision loss (best-corrected VA < 6/12) in 159 Aboriginals, of whom five were bilaterally blind. The four major known causes of vision loss were cataract (n = 53, 30.1%), DR (n = 44, 25.0%), uncorrected refractive error (n = 31, 17.6%) and trauma (n = 19, 10.8%). Aboriginals who had diabetes were far more likely to have vision loss (odds ratio = 8.5, 95% confidence interval 5.7-12.6, P < 0.0001). Of the 329 Aboriginals with diabetes, 82 (24.9%) had DR, and 32 (9.7%) had vision-threatening retinopathy. Of those wit...Continue Reading

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Citations

Nov 3, 2010·Clinical & Experimental Ophthalmology·Hugh Taylor
Feb 6, 2013·Australian and New Zealand Journal of Public Health·Mitchell D AnjouHugh R Taylor
Sep 27, 2012·Clinical & Experimental Ophthalmology·Mitchell D AnjouHugh R Taylor
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Dec 18, 2019·International Journal of Environmental Research and Public Health·Jose J EstevezAlex Brown
Nov 17, 2020·Internal Medicine Journal·Nicola QuinnUNKNOWN Centre of Research Excellence in Diabetic Retinopathy Study and TEAMSnet Study Groups

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