Setup Retina Unit ProjectOngoing Project | ANDHERI HILFE
Diabetes is a major public health problem regionally and globally and is a leading cause of death in most countries. In 2019, the International Diabetes Federation estimated that 465 million (9.3%) people worldwide had diabetes, and by 2045, the number may rise to 700 million (10.9%). Similarly, the prevalence of pre-diabetes in adults was estimated to be 374 million (7.5%) people in 2019 and is predicted to increase to 548 million (8.6%) by 2045. The average life expectancy of patients with type 2 diabetes mellitus (T2DM) decreases by approximately 10 years, and 80% of patients with T2DM die from cardiovascular complications. Furthermore, it was projected that between 2010 and 2030, there will be 69% more adults with diabetes in developing countries and 20% more in developed countries. Around 79% of people with diabetes live in low-income or middle-income countries, and more than 60% live in Asian countries. A progressive increase in the prevalence of diabetes and pre-diabetes has been observed both in urban and rural areas in South Asia, which is mostly due to lifestyle changes and the transition to urbanization and industrialization. The rising rate of diabetes and its associated health complications threaten to reverse economic gains in developing countries. Due to inadequate infrastructure for diabetes care, many developing countries will struggle to cope with this epidemic.
DIABETIC RETINOPATHY
This is an emerging problem and is likely to get compounded by changing life styles and ageing of the population. The prevalence of diabetic retinopathy among the diabetic patient is 27%. If the condition is diagnosed and treatment initiated early, it can prevent blindness. Available technology with laser treatment can easily help preventing this blinding disease.
The current capacity in the country to diagnose and treat diabetic retinopathy is very limited to few centres only to deal with this huge burden. Therefore, there is a strong need to enhance and develop the capacity for early detection and treatment of diabetic retinopathy.
Particularly in Chittagong division there is no any remarkable centre except CEITC for providing treatment for diabetic retinopathy patients and other retinal disorders, so that in this division a huge number of retinal patients became untreated due to unavailability of treatment facilities. If we can start the retina service in our hospital we will be able to provide modern services to the patients and a huge number of community people will be benefitted by our services.
The Problem
- Diabetic Retinopathy (DR) is a leading cause of preventable blindness worldwide and is a frequent cause of new cases of blindness among adults ages 20-74.
- Diabetic Retinopathy occurs in almost 75% of patients with adult onset diabetes within the first fifteen years of diagnosis of their disease. Approximately 2% of these people will go completely blind and 10% will develop severe visual impairment during this time.
- Early diagnosis and treatment of diabetes and Diabetic Retinopathy is critical because the risk of developing eye problems increases with the amount of time an individual has diabetes.
- There are currently over 3.2 million people with diabetes in Bangladesh; this number is expected to increase to more than 11 million by 2030.
- Current health care systems in these countries are ill-equipped to provide the necessary screening and treatment required to prevent the avoidable vision loss associated with advanced Diabetic Retinopathy.
|
SL |
Particulars |
1st year |
2nd year |
3rd year |
Total |
Remarks |
|
1 |
Patients Examined |
2,400 |
2,640 |
2,904 |
7,944 |
Yearly patient will be increase 10% |
|
2 |
Basic Investigation |
1,440 |
1,584 |
1,743 |
4,767 |
(60% on Basic investigation) |
|
4 |
FFA |
144 |
158 |
174 |
476 |
10% on Basic investigated patients |
|
5 |
OCT |
144 |
158 |
174 |
476 |
10% on Basic investigated patients |
|
6 |
Laser |
144 |
158 |
174 |
476 |
Laser therapy implement 10% on Basic investigated patients |
|
7 |
Retina Surgery |
48 |
60 |
72 |
180 |
Retina Detachment, Injury or others |
|
8 |
Injection |
48 |
60 |
72 |
180 |
Injection for retinal disease, DR and ROP |
|
9 |
CFP (OPD) |
48 |
60 |
72 |
180 |
Color funds photography for OPD patients |
|
10 |
Counseling |
2,400 |
2,640 |
2,904 |
7,944 |
Counseled the patient and if necessary referred to tertiary centre |
|
11 |
IEC, BCC Leaflet |
1000 |
1000 |
1000 |
3000 |
 |
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