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Does bariatric surgery adversely impact on diabetic retinopathy in persons with morbid obesity and type 2 diabetes? A pilot study / Rebecca Thomas; Sarah Prior; Jonathan Barry; Steve Luzio; Nia Eyre; Scott Caplin; Jeffrey Stephens; David Owens

Journal of Diabetes and Its Complications, Volume: 28, Issue: 2, Pages: 191 - 195

Swansea University Author: Prior, Sarah

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DOI (Published version): 10.1016/j.jdiacomp.2013.10.006

Abstract

AimsTo assess the incidence and progression of diabetic retinopathy (DR) 12 months post bariatric surgery in persons with morbid obesity and type 2 diabetes.MethodsA retrospective pilot analysis of electronic hospital records between 1998 and 2012.Results40 of 148 subjects had pre- and post-surgery...

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Published in: Journal of Diabetes and Its Complications
Published: 2013
URI: https://cronfa.swan.ac.uk/Record/cronfa19721
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first_indexed 2014-12-06T02:56:49Z
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spelling 2014-12-05T14:37:12Z v2 19721 2014-12-05 Does bariatric surgery adversely impact on diabetic retinopathy in persons with morbid obesity and type 2 diabetes? A pilot study Sarah Prior Sarah Prior true 0000-0001-8703-8092 false cdda101035997acfaa6fdf17097f52b2 559b4c20d23a413b23f65450a53ee972 94y8WYWnkQQY8y83Fz7jUggr5y2nBRz3haj4DmVVDsQ= 2014-12-05 PMSC AimsTo assess the incidence and progression of diabetic retinopathy (DR) 12 months post bariatric surgery in persons with morbid obesity and type 2 diabetes.MethodsA retrospective pilot analysis of electronic hospital records between 1998 and 2012.Results40 of 148 subjects had pre- and post-surgery DR screening. Of those without DR pre-surgery 1.5% (n = 26) progressed to minimum background DR (BDR) post surgery. Those with minimum BDR (n = 9) pre-surgery revealed no progression, with 55.6% (n = 5) showing evidence of regression. One person with moderately severe BDR and two with pre-proliferative DR (PPDR) prior to surgery experienced progression. Two persons with PPDR prior to surgery remained under the hospital eye services and were therefore not eligible to be re-assessed by the screening service.ConclusionsThere was a low incidence of new DR and progression of DR in those either without evidence of retinopathy or with minimal BDR prior to surgery with some subjects showing evidence of regression. There was however a risk of progression of DR in those with moderate BDR or worse, and should therefore be monitored closely post-surgery. Journal article Journal of Diabetes and Its Complications 28 2 191 195 Diabetic Retinopathy, Bariatric surgery, Type 2 diabetes, Obesity 0 0 2013 2013-01-01 10.1016/j.jdiacomp.2013.10.006 Swansea University Medical School Medicine CMED PMSC Biomarkers and genes None 2014-12-05T14:37:12Z 2014-12-05T14:18:02Z Swansea University Medical School Medicine Rebecca Thomas 1 Sarah Prior 2 Jonathan Barry 3 Steve Luzio 4 Nia Eyre 5 Scott Caplin 6 Jeffrey Stephens 7 David Owens 8
title Does bariatric surgery adversely impact on diabetic retinopathy in persons with morbid obesity and type 2 diabetes? A pilot study
spellingShingle Does bariatric surgery adversely impact on diabetic retinopathy in persons with morbid obesity and type 2 diabetes? A pilot study
Prior, Sarah
title_short Does bariatric surgery adversely impact on diabetic retinopathy in persons with morbid obesity and type 2 diabetes? A pilot study
title_full Does bariatric surgery adversely impact on diabetic retinopathy in persons with morbid obesity and type 2 diabetes? A pilot study
title_fullStr Does bariatric surgery adversely impact on diabetic retinopathy in persons with morbid obesity and type 2 diabetes? A pilot study
title_full_unstemmed Does bariatric surgery adversely impact on diabetic retinopathy in persons with morbid obesity and type 2 diabetes? A pilot study
title_sort Does bariatric surgery adversely impact on diabetic retinopathy in persons with morbid obesity and type 2 diabetes? A pilot study
author_id_str_mv cdda101035997acfaa6fdf17097f52b2
author_id_fullname_str_mv cdda101035997acfaa6fdf17097f52b2_***_Prior, Sarah
author Prior, Sarah
author2 Rebecca Thomas
Sarah Prior
Jonathan Barry
Steve Luzio
Nia Eyre
Scott Caplin
Jeffrey Stephens
David Owens
format Journal article
container_title Journal of Diabetes and Its Complications
container_volume 28
container_issue 2
container_start_page 191
publishDate 2013
institution Swansea University
doi_str_mv 10.1016/j.jdiacomp.2013.10.006
college_str Swansea University Medical School
hierarchytype
hierarchy_top_id swanseauniversitymedicalschool
hierarchy_top_title Swansea University Medical School
hierarchy_parent_id swanseauniversitymedicalschool
hierarchy_parent_title Swansea University Medical School
department_str Medicine{{{_:::_}}}Swansea University Medical School{{{_:::_}}}Medicine
document_store_str 0
active_str 1
researchgroup_str Biomarkers and genes
description AimsTo assess the incidence and progression of diabetic retinopathy (DR) 12 months post bariatric surgery in persons with morbid obesity and type 2 diabetes.MethodsA retrospective pilot analysis of electronic hospital records between 1998 and 2012.Results40 of 148 subjects had pre- and post-surgery DR screening. Of those without DR pre-surgery 1.5% (n = 26) progressed to minimum background DR (BDR) post surgery. Those with minimum BDR (n = 9) pre-surgery revealed no progression, with 55.6% (n = 5) showing evidence of regression. One person with moderately severe BDR and two with pre-proliferative DR (PPDR) prior to surgery experienced progression. Two persons with PPDR prior to surgery remained under the hospital eye services and were therefore not eligible to be re-assessed by the screening service.ConclusionsThere was a low incidence of new DR and progression of DR in those either without evidence of retinopathy or with minimal BDR prior to surgery with some subjects showing evidence of regression. There was however a risk of progression of DR in those with moderate BDR or worse, and should therefore be monitored closely post-surgery.
published_date 2013-01-01T04:24:50Z
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