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Who is affected by diabetic retinopathy

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By Monica Rhodes

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Diabetic retinopathy is the leading cause of new cases of vision loss in adults between ages 20 and 74.1 The prevalence of the disease varies between those with type 1 diabetes and those with type 2 diabetes.

Among people who have type 1 diabetes:

  • After 5 years, about 25% have retinopathy.1
  • After 10 years, 60% have retinopathy.1
  • After 15 years, 98% have retinopathy, and of those, 26% have the proliferative form of the disease.2
  • After 20 years, almost all have retinopathy.1 More than half (53%) have the proliferative form.2

Among people who have type 2 diabetes:

  • At diagnosis, about 21% have retinopathy.1 People with type 2 diabetes are more likely to have had the disease for several years before they are actually diagnosed. As a result, the time between diagnosis of diabetes and initial development of retinopathy may be shorter in people with type 2 diabetes.
  • After 15 years, about 85% of those taking insulin and 60% of those not taking insulin have retinopathy. About 20% of those taking insulin and 4% of those not taking insulin have the proliferative form.2
  • After 20 years, more than 60% have retinopathy.1 About 20% of people with type 2 diabetes who take insulin injections and 5% of those who do not take insulin have the proliferative form by this time.2

References

Citations

  1. Fong D, et al. (2004). Retinopathy in diabetes. Diabetes Care, 27(Suppl 1): S84–S87.

  2. Begg IS, et al. (2001). Eye disease. In HC Gerstein, RB Haynes, eds., Evidence-Based Diabetes Care, pp. 396–428. Hamilton, ON: BC Decker.

Credits

Author Monica Rhodes
Editor Kathleen M. Ariss, MS
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Anne C. Poinier, MD - Internal Medicine
Specialist Medical Reviewer Steven T. Charles, MD - Ophthalmology
Last Updated April 13, 2007
Last Updated: 04/13/2007