title: Diabetic retinopathy in a hospital eye clinic population in Honiara, Solomon Islands.
abstract: BACKGROUND
  To determine the presence, severity and context of diabetic retinopathy among diabetic adults using hospital eye clinic services in Honiara, Solomon Islands.
  
  
  METHODS
  Fifty consecutive known diabetic patients aged ≥20 years were interviewed and underwent Snellen distance vision testing and complete ocular examination, including dilated 90 D funduscopy. Diabetic retinopathy was graded according to the International Clinical Diabetic Retinopathy and Macular Oedema Disease Severity Scales.
  
  
  RESULTS
  Participants were predominantly Melanesian (94%). Mean age was 53.6 ± 10.7 years; 42% were female; and 34% were rural dwellers. Diabetes had been diagnosed <5, 5-10 and >10 years ago for 42%, 34% and 24% of participants. However, 54% denied ever having had a dilated fundus examination. Proliferative retinopathy, severe non-proliferative changes and maculopathy were present in 5, 12 and 26 eyes, respectively. For the 32 eyes with pinhole acuity ≤6/12, diabetic eye disease was the cause for 20, with all but one due to maculopathy. Diabetes reduced the pinhole vision of five eyes to ≤6/60. Twenty-four per cent of participants had diabetes-related pinhole vision ≤6/12 in at least one eye. Those diagnosed with diabetes 5-10 and >10 years were 17.5 and 58.8 times more likely to have such an eye compared with those recently (<5 years) diagnosed (extended Mantel-Haenszel χ² = 11.570, P < 0.001). Participants were not well informed about diabetic eye disease.
  
  
  CONCLUSIONS
  Diabetic eye disease is now a significant contributor to this clinic's workload. A population-based survey is needed to quantify the problem and inform design and delivery of eye services for this chronic disease.
authors.affiliation: The Pacific Eye Institute, Suva, Fiji.
authors.forename: Mundi Qalo
authors.initials: MQ
authors.lastname: Qoqonokana
authors.forename: Garry
authors.initials: G
authors.lastname: Brian
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Ramke
authors.forename: Jose
authors.initials: J
authors.lastname: Garcia
authors.forename: John
authors.initials: J
authors.lastname: Szetu
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D003930:Diabetic Retinopathy / Q000175:diagnosis / Q000208:ethnology; D008542:Melanesia / Q000453:epidemiology; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D011446:Prospective Studies; D014792:Visual Acuity; D000095188:Pacific Island People / Q000706:statistics & numerical data