Abstract

Aim: To monitor the accuracy of treatment of Diabetes Mellitus type 1 and 2 regarding Fundoscopy findings on the basis of ETDRS study classification along with laboratory parameter.

Method: It is Hospital based, progressive and descriptive study conducted from July 2018 to Dec 2019 at OPD in NMDC Sargodha in collaboration with medical department. All patients were referred from medical department and then their FUNDOSCOPY was done and documented according to proforma. 500 patients were included in the study.1% Tropicamide (Mydriasis) eye drops used to dilate pupils and FUNDOSCOPY was done with the help of 78D lens (Volk) at slit lamp and documented according to the performa. Patients suffering from hypertension, connective tissue diseases and Ischemic heart diseases were excluded from this study.

Results: Out of 500 patients 300 (60%)were male and 200(40%) were female. Regarding clinical condition of the patients most patients have mild to moderate NPDR. Data shows 20%patientswere at high risk. They have more chance to develop complications of DM of major organs of the body. Around 5% patients were need eyes intervention like parsplana vitrectomy at the time of their presentation.

Conclusion: Fundoscopy is important noninvasive tool for DM monitoring. It predict before time about complications. We can save life and quality of life of patients can be improved .All medical specialist should refer the patients for Fundoscopy when patients were present first time to them.

Keywords: Fundoscopy , diabetes mellitus ,diabetic retinopathy