Endocrine Abstracts

Introduction: Among the complications of diabetes ophthalmic are among the most severe. Uzbekistan’s population is over 30 million people; according to statistics the number of diabetes patients is 130 000 people, but the real number is at least six times bigger - more than 800 000 (WHO). Our study aimed to investigate the disability features due to ocular complications of diabetes in Tashkent within 10 years.

Methods: Data of examinations in specialized ophthalmic medical–social expert commissions in Tashkent of diabetic patients for the 2003–2012 years was studied. The total number of disabled people was 307; patients with Type 1 - 13%, 2 - 87%; men - 59% women - 41%; the mean age was 55 years.

Results: The level of total disability due to ocular complications of diabetes is not high: in 2003–2006 - 0.23 per 10 000 adults, decreasing to 0.17 in 2007; in 2008 - 0.14; in 2009 - 0.09; in 2010 - 0.11; in 2011 - 0.13; in 2012 - 0.11. On average, it was equal to 0.16 on 10 000 of the adult population. The share of new disability cases - 35.9% is significantly less than the number of repeatedly recognized disabled - 64.1%. From the new cases of disability group I disabled - 49.6%, group II - 47.2% and group III - 3.2%. Among repeatedly recognized, group I - 69.5%, group II - 24.7% and group III - 5.8%. Analysis of the structure by age of disability shows that in both primary (52.7%) and repeated disability (46.5%) a significant proportion is working-age population.

Conclusion: Prevention of ophthalmic complications of diabetes will not only reduce the state budget expenses, but will also improve the quality of patients life.