Diabetes retinopathy (DR) affects the majority of diabetic people (70 percent to 90 percent) and causes vision loss. Diabetes with eyesight loss can have a significant impact on a patient’s life. Furthermore, it has the potential to have a significant psychosocial impact. Unfortunately, there is still a significant gap in terms of recognising, recognising, and managing psychosocial distress in DR patients. Our goal was to identify different psychosocial symptoms and assess the severity of psychosocial impairment in patients with varied DR types. Materials and Methods: Data was collected from diabetic patients at the Retina Clinic of the CH Nagri Eye Hospital in Ahmedabad using a pretested questionnaire that included ocular history, diabetes history, ocular examination data, and retinopathy type (if present). In addition, the patients were asked to fill out a Gujarati version of the “General Health Questionnaire -28 (GHQ 28) for psychosocial assessment.” The self-scoring varied from 0-1-2-3. (from a lesser to a higher level of impairment). To evaluate significance, the Mann-Whitney Test was performed. The researchers looked at a total of 308 instances. The participants were divided into two groups: (A) DM-2 patients without retinopathy and (B) DM-2 patients with retinopathy. (B) Non-proliferative diabetic retinopathy in DM-2 individuals. (C) Diabetic retinopathy patients with Proliferative Diabetic Retinopathy. According to the GHQ-28 score (cutoff of point 25), 80.26 percent of patients with non-proliferative retinopathy and 93.75 percent of patients with proliferative retinopathy in both eyes were psychosocially affected. Patients with proliferative retinopathy had more severe impairment than those with non-proliferative retinopathy. (Mean GHQ score in PDR=41.88) (p-value 0.005) Conclusion: Diabetic Retinopathy patients had a greater level of psychosocial impairment, showing that it has a significant impact on overall health and quality of life. As a result, persons who have been afflicted by the condition must seek psychiatric help in order to lessen the disease’s impact on their psychological health. Reduced psychosocial distress is just as important as illness control.
 

Author (S) Details

Dr. Chinmay Jani
Department of Medicine, Mount Auburn Hospital-Harvard Medical School, Cambridge, MA, USA.

Dr. Tejas R. Desai
Department of Opthalmology, Shri C. H. Nagri Eye Hospital, Ahmedabad, Gujarat, India.

Dr. Sonal Parikh
Department of Community Medicine, Smt N. H. L. Municipal Medical College, Ahmedabad, Gujarat, India.

Dr. Aashka S. Shah
Department of Opthalmology, Shri C. H. Nagri Eye Hospital, Ahmedabad, Gujarat, India.


Dr. Astha Patel
Department of Opthalmology, MMIMSR Mullana, Ambala, Haryana, India.


Ruchi Jani
Smt NHL Municipal Medical College, Ahmedabad, Gujarat, India.

Dr. Harpreet Singh
Department of Pulmonary and Critical Care, Medical College of Wisconsin, Milwaukee, Wi, USA.


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