PMID- 31937726 OWN - NLM STAT- MEDLINE DCOM- 20201215 LR - 20240328 IS - 1998-3689 (Electronic) IS - 0301-4738 (Print) IS - 0301-4738 (Linking) VI - 68 IP - Suppl 1 DP - 2020 Feb TI - Spectrum of Eye Disease in Diabetes (SPEED) in India: A prospective facility-based study. Report # 4. Glaucoma in people with type 2 diabetes mellitus. PG - S32-S36 LID - 10.4103/ijo.IJO_1948_19 [doi] AB - PURPOSE: To estimate the proportion of people with type 2 diabetes mellitus (T2DM) and glaucoma in a facility-based cross-sectional observational study in India. METHODS: All people received a comprehensive eye examination. Glaucoma-specific examinations included applanation tonometry, optic disc and cup evaluation, and stereo biomicroscopy in all people; gonioscopy and visual field testing in glaucoma suspects. The International Society of Geographic and Epidemiologic Ophthalmology guidelines were used to diagnose and classify glaucoma. RESULTS: The study recruited 11,182 people (average age: 58.2 +/- 10.6; range 39-96 years). Glaucoma was diagnosed in 4.9% (n = 547) people. About 76.8% (n = 420) of those with glaucoma had bilateral disease, and 98.7% (n = 540) were >40 years. Among people with bilateral disease, 94.5% (n = 397) had primary glaucoma - open angle in 59.3% (n = 228) and angle closure in 40.2% (n = 169). Diabetes duration was 60 years age group (OR: 2.05, 95% CI: 1.57-2.67; P < 0.001), and diabetic neuropathy (OR: 2.62, 95% CI: 1.35-5.10, P < 0.003). Glycemic control did not have significant association (P = 0.425). CONCLUSION: Presence of glaucoma in people with T2DM in this cohort was similar to the general population prevalence studies in India. Glaucoma was invariably bilateral. A comprehensive eye examination in people age 40 years and older with diabetes and/or glaucoma is beneficial. FAU - Behera, Umesh C AU - Behera UC AD - Retina Vitreous Service, L V Prasad Eye Institute, Bhubaneswar, Odisha, India. FAU - Bhattacharjee, Harsha AU - Bhattacharjee H AD - Retina Vitreous Service, Sri Sankaradeva Nethralaya, Guwahati, Assam, India. FAU - Das, Taraprasad AU - Das T AD - Retina Vitreous Service, L V Prasad Eye Institute, Hyderabad, Telangana, India. FAU - Gilbert, Clare AU - Gilbert C AD - Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK. FAU - Murthy, G V S AU - Murthy GVS AD - Department of Clinical Research, Indian School of Public Health, Public Health Foundation of India, Hyderabad, Telangana, India. FAU - Rajalakshmi, R AU - Rajalakshmi R AD - Department of Ophthalmology, Dr Mohan's Diabetes Foundation, Chennai, Tamil Nadu, India. FAU - Pant, Hira B AU - Pant HB AD - Department of Clinical Research, Indian School of Public Health, Public Health Foundation of India, Hyderabad, Telangana, India. CN - SPEED study group LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study PL - India TA - Indian J Ophthalmol JT - Indian journal of ophthalmology JID - 0405376 SB - IM MH - Adult MH - Age Distribution MH - Aged MH - Aged, 80 and over MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*complications/epidemiology MH - Diabetic Retinopathy/*epidemiology/etiology MH - Female MH - Follow-Up Studies MH - Glaucoma/*epidemiology/etiology MH - Hospitals/*statistics & numerical data MH - Humans MH - Incidence MH - India/epidemiology MH - Male MH - Middle Aged MH - Prospective Studies MH - Risk Assessment/*methods MH - *Rural Population MH - Sex Distribution MH - *Urban Population MH - Young Adult PMC - PMC7001170 OTO - NOTNLM OT - Diabetes OT - diabetic retinopathy OT - glaucoma COIS- None EDAT- 2020/01/16 06:00 MHDA- 2020/12/16 06:00 PMCR- 2020/02/01 CRDT- 2020/01/16 06:00 PHST- 2020/01/16 06:00 [entrez] PHST- 2020/01/16 06:00 [pubmed] PHST- 2020/12/16 06:00 [medline] PHST- 2020/02/01 00:00 [pmc-release] AID - IndianJOphthalmol_2020_68_13_32_275732 [pii] AID - IJO-68-32 [pii] AID - 10.4103/ijo.IJO_1948_19 [doi] PST - ppublish SO - Indian J Ophthalmol. 2020 Feb;68(Suppl 1):S32-S36. doi: 10.4103/ijo.IJO_1948_19.