Sight‐threatening retinopathy in nine adolescents with early onset type 1 diabetes
| العنوان: | Sight‐threatening retinopathy in nine adolescents with early onset type 1 diabetes |
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| المؤلفون: | Kim C. Donaghue, Janine Cusumano, Alison Pryke, Maria E. Craig, Lara E Graves, Gerald Liew, Yoon Hi Cho |
| المصدر: | Pediatric Diabetes. 22:1129-1134 |
| بيانات النشر: | Hindawi Limited, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Type 1 diabetes, Pediatrics, medicine.medical_specialty, business.industry, Endocrinology, Diabetes and Metabolism, Incidence (epidemiology), Diabetic retinopathy, medicine.disease, Retinal Examination, Diabetes management, Diabetes mellitus, Pediatrics, Perinatology and Child Health, Photocoagulation therapy, Internal Medicine, medicine, business, Retinopathy |
| الوصف: | In adults, there has been a decline in the incidence of diabetic retinopathy (DR) associated with improvements in diabetes management. Data on incident severe DR in adolescents are sparse. In our established diabetes complications assessment service, we recorded nine cases of sight-threatening retinopathy in youth aged 15-17.9 years from 2017 to 2021. Proliferative retinopathy and clinically significant macular oedema were identified. The subjects were diagnosed with type 1 diabetes before the age of 10 years and had a history of poor glycaemic control (HbA1c 86-130 mmol/mol, 10%-15%). Five cases of retinopathy developed rapidly within 2.5 years of a previously normal retinal examination on seven-field stereoscopic retinal photography. Three adolescents required laser photocoagulation therapy. Two adolescents were diagnosed with retinopathy following improvement in diabetes control after being lost to medical follow-up and their retinopathy improved with improved glycaemic control. Thus, we support repeated retinal screening in adolescents with diabetes duration >10 years with suboptimal glycaemic control, even when initial retinal examination is normal, as retinopathy can progress rapidly during adolescence. |
| تدمد: | 1399-5448 1399-543X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::c1f4bbde72199df84055c4f87c2d13e1 https://doi.org/10.1111/pedi.13265 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........c1f4bbde72199df84055c4f87c2d13e1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13995448 1399543X |
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