Faktor prediktor gangguan penglihatan berat dan kebutaan pada penderita diabetes di Daerah Istimewa Yogyakarta

https://doi.org/10.22146/bkm.26334

Rimawati Aulia Insani Sadarang(1*), Hari Kusnanto(2), Mohammad Bayu Sasongko(3)

(1) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada
(2) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada
(3) Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Predictors of severe visual impairment and blindness among diabetic patients in Special Territory of Yogyakarta

Purpose

The purpose of this study was to identify any predictors of severe visual impairment and blindness among diabetic patients in Daerah Istimewa Yogyakarta.

Methods

This research was a cross-sectional study by analyzing registry data from (JOGED.COM). Data included sociodemographic characteristics, diabetic status, health record, and eye diseases. The analysis was done using chi-square and simple logistic regression tests follow with semi-partial correlation, stratification tests and multilevel analysis with Generalized Estimation Equation (GEE).

Results

As much as 1093 data were included in this study. The prevalence of severe visual impairment was 12% and blindness was 6.5%. Cataract, diabetic retinopathy and diabetes duration >10 years were statistically significant with severe visual impairment and blindness while glaucoma and hypertension only significant with severe visual impairment. The contribution of cataract in severe visual impairment (4.73%) and blindness (3.11%) was highest among eye diseases. There was modification effect of cataract to severe visual impairment and blindness by diabetes duration. Based on GEE, cataract, diabetic retinopathy and diabetes duration > 10 years was the best model to predict the occurrence of severe visual impairment and blindness.

Conclusions

Predictors of severe visual impairment and blindness among diabetic patients in Daerah Istimewa Yogyakarta were the cataract, diabetic retinopathy and diabetes duration >10 years. Modification effect of cataract by diabetes duration only was significant in a model to predict blindness.


Keywords


blindness; cataract; diabetic retinopathy; diabetes; visual impairment

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References

  1. World Health Organization. Global Data on Visual Impairments 2010. Geneva: WHO Press; 2012. 
  2. Centers for Disease Control and Prevention. National Diabetes Fact Sheet, 2011. Atlanta: U. S. Department of Health and Human Services, CDC; 2011.
  3. International Diabetic Federation Europe. Diabetes & Blindness due to DME. Diakses dari: www.idf.org [Tanggal 10 Desember 2016].
  4. Jingi, A.M., Nansseu, J.R.N., Noubiap, J.J.N., Bilong, Y., Ellong, A. & Mvogo, C.E. Diabetes and Visual Impairment in Sub-Sahara Africa: Evidence from Cameroon. Journal of Diabetes & Metabolic Disorders. 2015; 14(21): 1-8. Diakses dari: http://doi.10.1186/s40200-015-0151-4. [Tanggal 17 Desember 2016]. 
  5. Kementerian Kesehatan RI. Situasi Gangguan Penglihatan dan Kebutaan. Jakarta Selatan: Pusat Data dan Informasi Kementerian Kesehatan RI; 2014.
  6. Kementerian Kesehatan RI. Infodatin Situasi dan Analisis Diabetes. Jakarta Selatan: Pusat Data dan Informasi Kementerian Kesehatan RI; 2014.
  7. Sasongko, M., Agni, A., Wardhana, F., Kotha, S., Gupta, P., Widayanti, T., Supanji, S., Widyaputri, F., Widyaningrum, R., Wong, T., Kawasaki, R., Wang, J. & Prawiroranu, S. Rational and Methodology for a Community-Based Study of Diabetic Retinopathy among Indonesian Population with Type 2 Diabetes Mellitus: the Jogjakarta Eye Diabetic Study in the Community (JOGED.COM). Ophthalmic Epidemiology. 2016. Diakses dari: www.mc.manuscriptcentral.com [Tanggal 6 Desember 2016].
  8. World Health Organization. Global Initiative for the Elimination of Avoidable Blindness: Action Plan 2006-2011. Geneva: WHO Press; 2007. 
  9. Ayukotang, E.N., Kumah, D.B. & Mohammed, A.K. Prevalence of Visual Impairment among Diabetic Patients in the Kumba Urban Area, Cameroon. International Journal of Innovation and Applied Studies. 2016;15(4): 872-876. Diakses dari: www.ijias.issr-journal.org. [Tanggal 17 Desember 2016].
  10. Mabaso, R.G. & Oduntan, O.A. Prevalence and Cause of Visual Impairment and Blindness among Adults with Diabetes Mellitus Aged 40 years and Older Receiving Treatment at Government Health Facilities in the Mopani District, South Africa. The South African Optometrist. 2014;73 (1): 8-15. Diakses dari: www.avehjournal.org [Tanggal 10 Desember 2016].
  11. Al-Akily, S.A., Bamashmus, M.A. & Gunaid, A.A. Cause of Visual Impairment and Blindness among Yemenis with Diabetes: a Hospital-Based Study. Eastern Mediterranean Health Journal. 2011;17(11): 831-837. Diakses dari: www.icoph.org [Tanggal 17 Desember 2016].
  12. Seba, E.G., Arunga, S., Bwonya, B.D. & Twinamasiko, A. Prevalence, Risk Factors and Causes of Visual Impairment in Patients with Diabetes at Mbarara Regional Referral Hospital, South Western Uganda; A Hospital Based Study. Journal of Ophthalmology of Eastren Central and Southern Africa. 2015: 9-13. Diakses dari: Journal of ophtalmology of eastern central southern africa [Tanggal 2 Maret 2017].
  13. Rani, P.K., Raman, R.., Gella, L., Kulothngan, V. & Sharma, T. Prevalence of Visual Impairment and Associated Risk Factors in Subject with Type II Diabetes Mellitus: Sankara Nethralaya Diabetic Retinopathy Epidemiology and Molecular Genetics Study (SN-DREAM, Report 16). Middle East African Journal of Ophthalmology. 2012;19(1): 129-134. Diakses dari: http://doi: 10.4103/0974-9233.92129. [Tanggal 17 Desember 2016].
  14. Moise M,M. & Benjamin, L.M. Causes of Visual Disability among Central Africans with Diabetes Mellitus. African Health Science. 2012;12(2): 193-197. Diakses dari: http://dx.doi.org/10.4314/ahs.v12i2.18. [Tanggal 2 Maret 2017]. 
  15. Kahloun, R., Jelliti, B., Zaouali, S., Attia, S., Yahia, S.B., Resnikoff, S. & Khairallah, M. Prevalence and Cause of Visual Impairment in Diabetic Patients in Tunisia, North Africa. Eye. 2014;28: 986-991. Diakses dari: http://doi:10.1038/eye.2014.131. [Tanggal 17 Desember 2016].
  16. De Fine Olivarius, N., Siersma, V., Almind, G.J. & Nielsen, N.V. Prevalence and Progression of Visual Impairment in Patient Newly Diagnosed with Clinical Type 2 Diabetes: a 6 Year Follow Up Study. BMC Public Health. 2011;11(80): 1-13. Diakses dari: bmcpublichealth.biomedcentral [Tanggal 5 Desember 2016].
  17. Wei, L.S. The Link between Diabetes and Eyesight. Diakses dari: www.drleoeyespecialist.com [Tanggal 28 Mei 2017]
  18. Lathika, V.K., & Ajith, T.A. Association of Grade of Cataract with Duration of Diabetes, Age and Gender in Patients with Type II Diabetes Mellitus. International Journal of Advance in Medicine. 2016;3(2): 304-308. Diakses dari: www.ijmedicine.com. [Tanggal 11 Desember 2016].
  19. Pollreisz, A. & Erfurth, U.S. Diabetic Cataract – Pathogenesis, Epidemiology and Treatment. Journal of Ophthalmology. 2011; 1-8. Diakses dari:http://doi.10.1155/2010/608751. [Tanggal 21 Februari 2017]. 
  20. American Academy of Ophthalmology Retina/ Vitreous Panel. Preferred Prectice Pattern Diabetic Retinopathy, San Francisco: American Opthtalmology; 2016
  21. Askira, B.H. & Mubi, B.M. Blindness in Patients with Diabetes Mellitus Attending a Diabetes Clinic at the University of Maiduguri Teaching Hospital, Maiduguri. The Internet Journal of Ophthalmology and Visual Science. 2012;9(1): 1-5. Diakses dari: print.ispub.com. [Tanggal 8 Maret 2017].
  22. Javadi, M.A. & Ghanavati, S.Z. Cataract in Diabetic Patients: A Review Article. Journal of Ophthalmic and Vision Research. 2008;3(1): 52-65. Diakses dari: www.ncbi.nlm.nih.gov [Tanggal 27 Mei 2017].



DOI: https://doi.org/10.22146/bkm.26334

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