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Journals / Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2013 / Cilt: 24 - Sayı: 1

Relationship between diabetic retinopathy and neuropathy in diabetic foot ulcers

Diyabetik ayak ülserinde diyabetik retinopati ve nöropati ilişkisi

İsmail Safa SATOĞLU
Serkan AKÇAY
Cemal KAZIMOĞLU
Ahmet KURTULMUŞ
Fırat ERPALA
Pages
37–41
Publication Date
2022-10-17
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

For this reason we think that diabetic reti- nopathy and diabetic foot research is very important for early diagnosis and proper treatment.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: The aim of our study is to investigate the preva- lence and association of diabetic rethinopathy and diabetic neuropathy in patients with foot ulceration.
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Key Findings & Data:Only 43 patients (10 female, 33 male) who were followed up regularly during the wound healing period were included in the study.
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Conclusion & Impact:For this reason we think that diabetic reti- nopathy and diabetic foot research is very important for early diagnosis and proper treatment.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background: The aim of our study is to investigate the preva- lence and association of diabetic rethinopathy and diabetic neuropathy in patients with foot ulceration. Methods: Diabetic patients with foot ulcers who admitted to our diabetic council and surgical debridement was rec- ommended were included in the study. Only 43 patients (10 female, 33 male) who were followed up regularly during the wound healing period were included in the study. Diabetic retinopathy, independent co-morbidites (hypertension, hyper- lipidemia), tobacco use, and history of diabetes mellitus was recorded. Diabetic foot ulcers were classified according to the Wagner-Meggit classification.Results: The average follow up period for diabetes mellitus was 11.46 (range, 2-30) years. The average follow up period was 135.3 (33-285) days. Particularly the prevalence of diabet- ic neuropathy in patients with diabetic rethinopathy (66.7%) and in patients with diabetic neuropathy (64.3%) were very close. This result reveals a strong relationship between diabet- ic retinopathy and neuropathy in patients with neuropathic foot ulceration.Conclusion: Diabetic foot ulcers are the most common indica- tion for amputation and they have strong contribution with high morbidity rate. For this reason we think that diabetic reti- nopathy and diabetic foot research is very important for early diagnosis and proper treatment.

Özet

Amaç: Bu çalışmada, diyabetik ayak ülseri gelişen hastalar-daki diyabetik retinopati ile nöropati sıklığı ve birlikteliğiaraştırıldı. Gereç ve Yöntem: Diyabetik ayak konseyine diyabetik ayakülseri tanısıyla başvuran ve cerrahi debridman tedavisi öne-rilen hastalar çalışmaya alındı. Yara iyileşmesi süresince, dü-zenli takipleri olan 43 hasta (10 kadın, 33 erkek) çalışmayaalındı. Diyabetik retinopati, bağımsız komorbiditeler (hi-pertansiyon, hiperlipidemi), sigara kullanım alışkanlıkları,diabetes mellitus tanı alma süreleri kaydedildi. Diyabetikayak ülserleri Wagner-Meggit sınıflamasına göre sınıflandırıldı.Bulgular: Diabetes mellitus tanısı ile takip süresi ortalama11.46 (2-30) yıl idi. Klinik takip süresi ortalama 135.3 (33-285)gündü. Özellikle diyabetik retinopatili olgularda, diyabetiknöropati görülme sıklığı (%66.7) ve diyabetik nöropatili ol-gularda, diyabetik nöropati görülme sıklığının (%64.3) birbi-rine çok yakın oranlar olduğu görüldü. Bu durum, diyabetikayak ülseri gelişen hastalarda özellikle nöropatik yaralardanöropati ile retinopati arasında güçlü bir ilişki olduğunugösterdi.Sonuç: Diyabetik ayak ülserinin, gerek yarattığı morbiditegerekse alt ekstremite amputasyonunun en önemli nedeniolduğu göz önüne alındığında, diyabetik retinopati ve di-yabetik ayak taramalarının erken tanısı ve önleyici tedaviyiyönlendirmesi açısından önemli olduğunu düşünmekteyiz.

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Cite This Article

SATOĞLU, İ. S., AKÇAY, S., KAZIMOĞLU, C., KURTULMUŞ, A., ERPALA, F. (2022). Relationship between diabetic retinopathy and neuropathy in diabetic foot ulcers. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 24 - Sayı: 1, 37–41. https://ajindex.com/articles/571420

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References (12)

  1. Nguyen HT, Luzio SD, Dolben J, West J, Beck L, Coates PA, et al. Dominant risk factors for retinopathy at clini- cal diagnosis in patients with type II diabetes mellitus. J Diabetes Complications 1996;10(4):211-9
  2. Agardh E, Agardh CD, Hansson-Lundblad C. The five- year incidence of blindness after introducing a screen- ing programme for early detection of treatable diabetic retinopathy. Diabet Med 1993;10(6):555-9
  3. Malone JM, Snyder M, Anderson G, Bernhard VM, Hollo- way GA Jr, Bunt TJ. Prevention of amputation by diabetic education. Am J Surg 1989;158(6):520-34
  4. Wong TY, Klein R, Klein BE, Tielsch JM, Hubbard L, Nieto FJ. Retinal microvascular abnormalities and their rela- tionship with hypertension, cardiovascular disease, and mortality. Surv Ophthalmol 2001;46(1):59-80
  5. Sharrett AR, Hubbard LD, Cooper LS, Sorlie PD, Brothers RJ, Nieto FJ, et al. Retinal arteriolar diameters and elevat- 40 ed blood pressure: the Atherosclerosis Risk in Communi- ties Study. Am J Epidemiol 1999;150(3):263-70
  6. Hubbard LD, Brothers RJ, King WN, Clegg LX, Klein R, Cooper LS, et al. Methods for evaluation of retinal micro- vascular abnormalities associated with hypertension/ sclerosis in the Atherosclerosis Risk in Communities Study. Ophthalmology 1999;106(12):2269-80
  7. Klein R, Sharrett AR, Klein BE, Chambless LE, Cooper LS, Hubbard LD, et al. Are retinal arteriolar abnormali- ties related to atherosclerosis?: The Atherosclerosis Risk in Communities Study. Arterioscler Thromb Vasc Biol 2000;20(6):1644-50
  8. Wong TY, Klein R, Sharrett AR, Duncan BB, Couper DJ, Tielsch JM, et al. Retinal arteriolar narrowing and risk of coronary heart disease in men and women. The Atherosclerosis Risk in Communities Study. JAMA 2002;287(9):1153-9
  9. Malik RA, Kallinikos P, Abbott CA, van Schie CH, Morgan P, Efron N, et al. Corneal confocal microscopy: a non- invasive surrogate of nerve fibre damage and repair in diabetic patients. Diabetologia 2003;46(5):683-8
  10. Quattrini C, Tavakoli M, Jeziorska M, Kallinikos P, Tes- faye S, Finnigan J, et al. Surrogate markers of small fi- ber damage in human diabetic neuropathy. Diabetes 2007;56(8):2148-54
  11. Tesfaye S. Diabetic neuropathy: achieving best practice. Br J Ophthalmol 2003;3(2):112–7
  12. Dyck PJ, Kratz KM, Lehman KA, Karnes JL, Melton LJ 3rd, O’Brien PC, et al. The Rochester Diabetic Neuropathy Study: design, criteria for types of neuropathy, selection bias, and reproducibility of neuropathic tests. Neurology 1991;41(