Clinical Analysis of Retinopathy of Juvenile Diabetes.

Kim, Mee Kum; Yu, Young Suk

Original Article

Journal of the Korean Ophthalmological Society 1998;39(7):1528-1535.
Published online July 1, 1998.

Clinical Analysis of Retinopathy of Juvenile Diabetes.

Mee Kum Kim, Young Suk Yu

Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea.

소아 당뇨망막병증의 임상분석

김미금(Mee kum Kim),유영석(Young Suk Yu)

Abstract

To investigate the incidence, clinical findings and risk factors of retinopathy of juvenile diabetes, we retrospectively studied the medical records of patients from 1986 to 1997. We analysed 140 eyes in 70 patients underwent on annual indirect ophthalmoscopic examination and, when needed, a fluorescein angiography. After mean follow-up of 5.5 years, diabetic retinopathy was observed in 20 eyes(11 patients) and majority of them was mild nonproliferative diabetic retinopathy. In three eyes(two patients) proliferative diabetic retinopathy was developed. The mean age of the diagnosis of retinopathy was 16.2 years and at the first detection of diabetes was 9.0 years. In the univariate analysis, the total duration of diabetes, the duration of diabetes after puberty, sex and hypertension were not related to diabetic retinopathy but the HbAlc level, family history, and microalbuminuria were related. These results show important considerations during follow-up examination of the fundus in juvenile diabetes.

Key Words: Incidence;Juvenile diabetes;Risk factors