EXPLORING EYE CARE PRACTICES AND SERVICE UPTAKE AMONG DIABETIC INDIVIDUALS - A STUDY FROM A TERTIARY CARE HOSPITAL IN AYUB TEACHING HOSPITAL, ABBOTTABAD

Authors

  • Obaid Ullah Ayub Teaching Hospital, Abbottabad-Pakistan
  • Arooba Aurangzeb Ayub Medical College, Abbottabad-Pakistan
  • Maira Salam Royal Stoke University Hospital-United Kingdom
  • Shoaib Ismail Royal Stoke University Hospital-United Kingdom
  • Zainab Faisal Department of Ophthalmology Ayub Teaching Hospital, Abbottabad-Pakistan
  • Iftikhar Ahmed Abbottabad International Medical College Abbottabad-Pakistan

DOI:

https://doi.org/10.55519/JAMC-04-13811

Keywords:

Eye care; Knowledge, attitude and practices; Diabetes

Abstract

Background: Diabetes mellitus is a leading cause of morbidity and mortality, with many ocular severe complications. This cross-sectional study determined adherence to proper eye care recommendations and regular eye examinations among local diabetic patients and factors associated with non-adherence. Methods: This cross-sectional survey assed the knowledge, attitude, and practices of 200 type I and II diabetic patients. The frequency of patients' regular eye examinations, good knowledge of diabetic eye disease, and measures of the association of periodic eye examination with different variables were calculated. Results: There were 116 (58%) males and 84 (42%) females (mean age=55.28 years, SD=13.928 years). The majority belonged to the lower socioeconomic group with little education. 114 (57%) had never had any eye examination. 107 were unaware of the importance of eye examination. Only 35 (17.5%) had good knowledge, and 146 (73%) patients had poor attitudes towards diabetes. Periodic eye examination was significantly associated with occupation, area of residence, and overall knowledge of diabetic eye complications. In contrast, it had no significant association with gender, type of diabetes, presence of eye symptoms, or presence of other diabetes complications. Conclusion: The knowledge of our local population about diabetic eye disease is very deficient. An extensive campaign of educating diabetic patients about ocular complications is necessary to address this.

Author Biography

Zainab Faisal , Department of Ophthalmology Ayub Teaching Hospital, Abbottabad-Pakistan

Trainee Medical Officer at Department of Ophthalmology  Ayub Teaching Hospital, Abbottabad

References

International Diabetes Federation. IDF diabetes atlas: ninth edition 2019 [e-book]. Brussels: International Diabetes Federation; 2019. Available from:https://diabetesatlas.org/idfawp/resourcefiles/2019/07/IDF_diabetes_atlas_ninth_edition_en.pdf

World Health Organisation. Diabetes [Internet]. Who.int; 2021 [cited 2 November 2021]. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes

Tariq, M., Kawish, A. B., Wajahat, M., Tariq, A., & Mahmood, T. (2022). Knowledge, attitude and practices towards eye care among primary health care workers in District Ckakwal. International Journal of Natural Medicine and Health Sciences, 1(4).

Arshad, H., Ali, M., Khan, A. S., Akhtar, F., & Mueed, A. (2021). Late Presentation of Primary Open Angle Glaucoma and Its Predictors at a Tertiary Eye Care Hospital in Pakistan. J Clin Exp Ophthalmol, 12, 899.

Hope, M. (2019). Assessing the Knowledge and Practices regarding eye care and complications of Diabetes among Diabetic Patients 18 years and older, attending a tertiary Diabetic Clinic in Kampala, Uganda (Master's thesis, Faculty of Health Sciences).

Sayin N. Ocular complications of diabetes mellitus. World J Diabetes. 2015;6(1):92.

Kleinwechter H, Schäfer-Graf U, Bührer C, Hoesli I, Kainer F, Kautzky-Willer A, et al. Diabetes und Schwangerschaft. Diabetologie und Stoffwechsel. 2021;16(S 02):S207-14

Flaxman SR, Bourne RR, Resnikoff S, Ackland P, Braithwaite T, Cicinelli MV, et al. Global causes of blindness and distance vision impairment 1990-2020: a systematic review and meta-analysis. Lancet Glob Health. 2017;5(12):e1221-34.

Malik, M., Strang, N., Campbell, P., & Jonuscheit, S. (2022). Exploring eye care pathways, patient priorities and economics in Pakistan: A scoping review and expert consultation study with thematic analysis. Ophthalmic and Physiological Optics, 42(4), 694-716.

Retinal vascular disease, retina and vitreous. Basic and clinical science course, American Academy of Ophthalmology, San Francisco, 2017-18

Lewis K, Patel D, Yorston D, Charteris D. A qualitative study in the United Kingdom of factors influencing attendance by patients with diabetes at ophthalmic outpatient clinics. Ophthalmic Epidemiol. 2007;14(6):375-80.

Mumtaz SN, Fahim MF, Arslan M, Shaikh SA, Kazi U, Memon MS. Prevalence of diabetic retinopathy in Pakistan; a systematic review. Pak J Med Sci. 2018;34(2):493.

McCarty CA, Lloyd-Smith CW, Lee SE, Livingston PM, Stanislavsky YL, Taylor HR. Use of eye care services by people with diabetes: the Melbourne Visual Impairment Project. British journal of ophthalmology. 1998;82(4):410-4.

Murchison AP, Hark L, Pizzi LT, Dai Y, Mayro EL, Storey PP, et al. Non-adherence to eye care in people with diabetes. BMJ Open Diabetes Res Care. 2017;5(1):e000333.

Wong TY, Sun J, Kawasaki R, Ruamviboonsuk P, Gupta N, Lansingh VC, et al. Guidelines on diabetic eye care: the international council of ophthalmology recommendations for screening, follow-up, referral, and treatment based on resource settings. Ophthalmology. 2018 Oct 1;125(10):1608-22.

Srinivasan NK, John D, Rebekah G, Kujur ES, Paul P, John SS. Diabetes and diabetic retinopathy: knowledge, attitude, practice (KAP) among diabetic patients in a tertiary eye care centre. J Clin Diagn Res. 2017;11(7):NC01.

Khamis H: Measure of association, how to choose? Journal of Diagnostic Medical Sonography, 2008.

Arshad, H., Ali, M., Khan, A. S., Akhtar, F., & Mueed, A. (2021). Late Presentation of Primary Open Angle Glaucoma and Its Predictors at a Tertiary Eye Care Hospital in Pakistan. J Clin Exp Ophthalmol, 12, 899.

Cicinelli, M. V., Marmamula, S., & Khanna, R. C. (2020). Comprehensive eye care-Issues, challenges, and way forward. Indian journal of ophthalmology, 68(2), 316.

Khan, A. A., Talpur, K. I., Awan, Z., Arteaga, S. L., Bolster, N. M., Katibeh, M., ... & Bastawrous, A. (2022). Improving equity, efficiency and adherence to referral in Pakistan's eye health programmes: Pre-and post-pandemic onset. Frontiers in public health, 10, 873192.

Wong, T. Y., & Sabanayagam, C. (2019). The war on diabetic retinopathy: where are we now?. The Asia-Pacific Journal of Ophthalmology, 8(6), 448-456.

Published

2024-11-25

How to Cite

Obaid Ullah, Arooba Aurangzeb, Maira Salam, Shoaib Ismail, Faisal , Z., & Iftikhar Ahmed. (2024). EXPLORING EYE CARE PRACTICES AND SERVICE UPTAKE AMONG DIABETIC INDIVIDUALS - A STUDY FROM A TERTIARY CARE HOSPITAL IN AYUB TEACHING HOSPITAL, ABBOTTABAD. Journal of Ayub Medical College Abbottabad, 36(4). https://doi.org/10.55519/JAMC-04-13811