2014, Cilt 40, Sayı 1, Sayfa(lar) 001-006

The Effects of Socio-economic Factors on the Development of Diabetic Retinopathy
Fatih TOKA1, Berkant KADERLİ2, Öner GELİŞKEN3, Sertaç Argun KIVANÇ2, Meral YILDIZ2, Ahmet Ali YÜCEL2, Özgür YALÇINBAYIR2, Remzi AVCI4
1 Bitlis Devlet Hastanesi, Göz Hastalıkları Kliniği, Bitlis.
2 Uludağ Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Bursa.
3 Focus Göz Merkezi, Bursa.
4 Retina Göz Hastanesi, Bursa.
Keywords: Diabetic retinopathy. Socioeconomic factors. HbA1C

As a complication of diabetes mellitus (DM), diabetic retinopathy (DR) is the major cause of blindness in the working population. There are many factors which affect development of DR. We aimed to investigate the effect of socio-economic factors and HbA1C levels on the devel-opment of DR. In this study, 297 patients with DM were included and questionnaire about demographic and socio-economic status of pa-tients was performed. Patients were divided into two groups according to the presence or absence of retinopathy. The lower income and education, DM with duration of 15 years or more, high HbA1C levels and insulin treatment were all related to the development of diabetic retinopathy. Additionally, the questionnaire revealed that patients with DR were not informed about DR before and after the diagnosis of DM, and they were not regularly under control by a physician. As a result, both patient-related socio-economic factors and physician-related factors were found to be related to the development of diabetic retinopathy.