ECE2024 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (383 abstracts)
Hedi Chaker University Hospital, Department of Endocrinology, Sfax, Tunisia
Introduction: Diabetic retinopathy (DR) is the most common cause of acquired blindness. Patient information about its course and prognosis is key to insure therapeutic adherence and reduce the risk of blindness. The aim of this study is to assess Tunisian patients level of knowledge about DR and to correlate it with DR severity.
Methods: We conducted a cross-sectional descriptive and analytical study of diabetic patients with DR followed at outpatient unit of the endocrinology department of Hedi Chaker University of Sfax, Tunisia. Patients knowledge about DR was assessed using a open-end survey in Arabic language.
Results: We enrolled 41 T2DM patients in the study. Mean age was 49 years. Patients were predominantly male. Funduscopic examination showed that 76% of patients had pre-proliferative DR while 24% had proliferative DR. We found that 51% of patients were unaware of the risk of DR. The majority of patients (69%) were unable to specify the types of ocular damage related to diabetes. Preventive measures were poorly understood and executed: In fact 84% of patients could not enumerate any effective method to delay the onset of DR and 78% have never undergone a specialized ophthalmological assessment of retina throughout the course of the disease. We found that a lesser survey global score was associated with more severe DR phenotype (OR=3.2; P=0.04).
Conclusion: DR is emerging as an important cause of visual impairment. Proactive participation of patient is key to insure better management outcomes. Our results showed poor global level of knowledge among Tunisian patients, in contrast with results by Almalki et al. (2018). Adequate therapeutic education about DR has been linked to better outcomes in a study by Assem et al. (2020). These results should prompt practitioners to develop therapeutic education programs regarding DR.