Abstract :
Aim: Diadetic retinopathy and diabetic nephropathy are two major microvascular complications of DM
causing significant morbidity and mortality. The aim is to study prevalence of DR in diabetics with CKD
and its association in different stages of CKD.
Materials and Methods: Total of 80 diabetic pts were examined. Type 2 Diabetes mellitus was defined
as FBS>126mg/dl or RBS of>200mg/dl with symptoms of diabetes. DR graded by ETDRS classification.
CKD was defined as eGFR of less than
months and/or parenchymal changes on USG. CKD staging was done by eGFR. Macro-albuminuria was
assessed by the urine strip (URISCAN) method.
Results: Among 80 patients 37 had CKD of these 24 (64.86%) had DR of variable severity. Among 43
pt with out CKD 12 patients (27.9%) had DR. Compared to pts with out CKD pts with CKD had higher
prevalence of DR (p
was strong assosition between macroalbuminuria and diabetic retinopathy.
Conclusion: DR prevalence was more in nephropathy irrespective of staging of CKD. It warrents regular
retinal examination irrespective of stage of CKD especially when associated with protienuria.
Keyword :
Diabetic retinopathy (DR), Chronic kidney disease (CKD), Macro albuminuria, e GFR.