The Prevalence and Risk Factors of Diabetic Macular Edema in Diabetic Retinopathy Patient in Chumphon Khet Udomsakdi Hospital

Abstract

Background : The main cause to decrease vision in diabetic retinopathy patients is diabetic macular edema. Recently, This disease tend to be increase in people while it had limited knowledge about factors of diabetic macular edema in Thailand.

Objectives : To investigate prevalence and risk factors that effect to diabetic macular edema in diabetic retinopathy patients in Chumphon Khet Udomsak Hospital, Thailand.

Method : A retrospective cohort study was conducted by a review medical record of diabetic retinopathy patients in Chumphon Khet Udomsak Hospital from 1 January 2021 to 30 September 2021. The analysis of prevalence and risk factors relate to diabetic macular edema from diabetic retinopathy were performed by multivariate logistic regression analysis

Results : 15 diabetic retinopathy patients from 273 patients (5.49%) and 2 risk factors that relate to diabetic macular edema including hyperlipidemia (Adj OR = 10.28, 95% CI = 1.31 – 80.33, p = 0.026) and fasting blood glucose is greater than or equal to 200 mg/dL (Adj OR = 4.32, 95% CI = 1.45 – 12.85, p = 0.008).

Conclusion : Prevalence of diabetic macular edema in Chumphon Khet Udomsak Hospital, Thailand was 5.49%. From this patients, there were 2 risk factors that relate to diabetic macular edema including hyperlipidemia and fasting blood glucose is greater than or equal to 200 mg/dL.

Keywords : Diabetic macular edema, Diabetic retinopathy