Faktor prediktor gangguan penglihatan berat dan kebutaan pada penderita diabetes di Daerah Istimewa Yogyakarta
Abstract: The purpose of this
study was to identify a predictor of severe visual impairment and blindness
among diabetic patients in Daerah Istimewa Yogyakarta. Method: This was
cross-sectional study by analyzing register data from Jogjakarta Eye Diabetic
Study in the Community (JOGED.COM). Data include socio demography
characteristics, diabetic status, health record, and eye diseases. The analysis
was done using chi-square and simple logistic regression test follow with
semi-partial correlation test, stratification test and multilevel analysis with
Generalized Estimation Equation (GEE). Results: As much as 1093 data were
included in this study. The prevalence of severe visual impairment was 12% and
blindness was 6.5%. Cataract, diabetic retinopathy and diabetes duration >10
years were statistically significant with severe visual impairment and
blindness while glaucoma and hypertension only significant with severe visual
impairment. The contribution of cataract in severe visual impairment (4.73%)
and blindness (3.11%) was highest among eye diseases. There was modification
effect of cataract to severe visual impairment and blindness by diabetes
duration. Based on GEE, cataract, diabetic retinopathy and diabetes duration
> 10 years was the best model to predict the occurring of severe visual
impairment and blindness. Conclusions: Predictor of severe visual impairment
and blindness among diabetic patients in Daerah Istimewa Yogyakarta were the
cataract, diabetic retinopathy and diabetes duration >10 years. Modification
effect of cataract by diabetes duration only significant in a model to predict
blindness.
Keywords: blindness ;
cataract; diabetic retinopathy; diabetes; visual impairment
Penulis: Rimawati Aulia Insani
Sadarang , Hari Kusnanto, M. Bayu Sasongko
Kode Jurnal: jpkedokterandd170566
