[Diabetes: why so many diabetic retinopathies diagnosed in the stage of complications?].
OBJECTIVE
The aim of this study is to ascertain the reasons of the late diagnosis of severe diabetic retinopathies.


METHODS
We analysed 30 diabetic patients seen at the initial examination with severe diabetic retinopathies, including risk factors of diabetes, quality of maintenance of a metabolic balance in blood sugar levels and examination of the fundus.


RESULTS
Sixteen diabetic patients (53%) had no examination of the fundus from the onset of diabetes; 100% were over-weighted of more than 15%; 100% had no strict metabolic control of blood sugar levels; 90% had high blood pressure; 60% had familial diabetes.


CONCLUSIONS
The prevention of late diagnosis of severe diabetic retinopathies must be based on the prevention of diabetes: examination and treatment of patients with high risk factors of diabetes. The prevention of diabetic retinopathy relies on the maintenance of a strict metabolic balance in blood sugar levels and required examination of the fundus every year.
Constantinides
G
G
Service d'Ophtalmologie, Centre Régional Universitaire de Lille.
Fourdrignier
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003920:Diabetes Mellitus / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control / Q000628:therapy; D003930:Diabetic Retinopathy / Q000150:complications / Q000175:diagnosis / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors
Diabète: pourquoi toujours autant de rétinopathies diabétiques diagnostiquées au stade des complications?