Skip to main content
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1983 Nov;67(11):759–765. doi: 10.1136/bjo.67.11.759

Prevalence and 15-year incidence of retinopathy and associated characteristics in middle-aged and elderly diabetic men.

L Yanko, U Goldbourt, I C Michaelson, A Shapiro, S Yaari
PMCID: PMC1040195  PMID: 6639910

Abstract

We examined 178 men for the presence of diabetic retinopathy during 1978-80. They had been part of a group of 205 men from the Jerusalem area, diagnosed as being diabetic or having an abnormal glucose tolerance test in the Israel Ischaemic Heart Disease Project, a 5-year epidemiological investigation of Israeli male government employees. Seventy-four (42%) had diabetic retinopathy as determined by direct and indirect ophthalmoscopy, 3-mirror contact lens examination, and fundus photography. Those with and without retinopathy were compared for clinical, biochemical, behavioural, and biographical variables measured subsequently in 1963, 1965, and 1968. We found no significant differences between the 2 groups with respect to antecedent Quetelet index, blood pressure, peripheral vascular disease, blood lipids, haematocrits, smoking habits, area of birth, and education. Statistically significant differences between men with and without retinopathy were found for severity of carbohydrate metabolic intolerance at identification, duration of the metabolic abnormality, age, casual glucose values, and serum uric acid levels. Low serum uric acid appears to precede the incidence of diabetic retinopathy and to decline further as the disease progresses.

Full text

PDF
762

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BECKETT A. G., LEWIS J. G. Gout and the serum uric acid in diabetes mellitus. Q J Med. 1960 Jul;29:443–458. [PubMed] [Google Scholar]
  2. Burditt A. G., Caird F. I., Draper G. J. The natural history of diabetic retinopathy. Q J Med. 1968 Apr;37(146):303–317. [PubMed] [Google Scholar]
  3. Colwell J. A. Effect of diabetic control on retinopathy. Diabetes. 1966 Jul;15(7):497–499. doi: 10.2337/diab.15.7.497. [DOI] [PubMed] [Google Scholar]
  4. Davis M. D., Hiller R., Magli Y. L., Podgor M. J., Ederer F., Harris W. A., Long J. W., Haug G. A. Prognosis for life in patients with diabetes: relation to severity of retinopathy. Trans Am Ophthalmol Soc. 1979;77:144–170. [PMC free article] [PubMed] [Google Scholar]
  5. Dorf A., Ballintine E. J., Bennett P. H., Miller M. Retinopathy in Pima Indians. Relationships to glucose level, duration of diabetes, age at diagnosis of diabetes, and age at examination in a population with a high prevalence of diabetes mellitus. Diabetes. 1976 Jul;25(7):554–560. doi: 10.2337/diab.25.7.554. [DOI] [PubMed] [Google Scholar]
  6. Goldberg M. F. Natural history of diabetic retinopathy. Isr J Med Sci. 1972 Aug-Sep;8(8):1311–1315. [PubMed] [Google Scholar]
  7. Groen J. J., Medalie J. H., Neufeld H. N., Riss E., Bachrach C. A., Mount F. W., Smith H. An epidemiologic investigation of hypertension and ischemic heart disease within a defined segment of the adult male population of Israel. Isr J Med Sci. 1968 Mar-Apr;4(2):177–194. [PubMed] [Google Scholar]
  8. HARDIN R. C., JACKSON R. L., JOHNSTON T. L., KELLY H. G. The development of diabetic retinopathy; effects of duration and control of diabetes. Diabetes. 1956 Sep-Oct;5(5):397–405. doi: 10.2337/diab.5.5.397. [DOI] [PubMed] [Google Scholar]
  9. Herman J. B., Medalie J. H., Goldbourt U. Diabetes, prediabetes and uricaemia. Diabetologia. 1976 Mar;12(1):47–52. doi: 10.1007/BF01221964. [DOI] [PubMed] [Google Scholar]
  10. Kahn H. A., Bradley R. F. Prevalence of diabetic retinopathy. Age, sex, and duration of diabetes. Br J Ophthalmol. 1975 Jul;59(7):345–349. doi: 10.1136/bjo.59.7.345. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Knowles H. C., Jr Long-term juvenile diabetes treated with unmeasured diet. Trans Assoc Am Physicians. 1971;84:95–101. [PubMed] [Google Scholar]
  12. Medalie J. H., Papier C., Herman J. B., Goldbourt U., Tamir S., Neufeld H. N., Riss E. Diabetes mellitus among 10,000 adult men. I. Five-year incidence and associated variables. Isr J Med Sci. 1974 Jul;10(7):681–697. [PubMed] [Google Scholar]
  13. Mikkelsen W. M. The possible association of hyperuricemia and/or gout with diabetes mellitus. Arthritis Rheum. 1965 Oct;8(5):853–864. doi: 10.1002/art.1780080450. [DOI] [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES