Assessment of colour vision among self-referred patients for glucose monitoring in ESUT teaching hospital, Parklane, Nigeria using Hardy-Rand-Rittler colour vision test
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20243631Keywords:
Colour vision, Diabetic retinopathy glucose monitoring, Diabetes mellitus, Hardy-Rand-Rittler test, Vision screeningAbstract
Background: Worldwide, diabetes mellitus (DM) is a common chronic metabolic disease that has a substantial impact on public health necessitating the need for screening populations at risk since it is linked to several sequelae, including diabetic retinopathy (DR). Despite evidence from studies linking colour vision impairments to diabetic eye disease, colour vision is not frequently tested for in diabetic eye screening protocols.
Methods: This cross-sectional study aimed to evaluate the feasibility of using the Hardy-Rand-Rittler pseudoisochromatic color vision test for diabetic retinopathy (DR) screening due to its cost-effectiveness and ease of use. Conducted at ESUT Teaching Hospital, Parklane, standard eye examinations, including dilated fundus assessments and visual acuity tests, were conducted alongside color vision evaluations over a three-month period for a total of 57 patients on self-referred blood glucose monitoring appointments.
Results: The research involved participants with fair glycemic control (average blood sugar level of 159.28 mg/dl). Those aged 48-57 had the highest likelihood of moderate color vision abnormalities while 73.7% of them demonstrated mild unclassified defects on the Hardy-rand- rattler colour vision testing.
Conclusions: The Hardy-Rand-Rittler test for color vision could be valuable for screening older diabetes patients, particularly in resource-limited areas. Detecting anomalies early may indicate retinal disease, prompting further eye examinations and immediate intervention.
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References
Wagner K-H, Brath H. A global view on the development of non communicable diseases. Prev Med (Baltim). 2012;54:S38-41.
Ogurtsova K, da Rocha Fernandes JD, Huang Y, Linnenkamp U, Guariguata L, Cho NH, et al. IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diab Res Clin Pract. 2017;128:40-50.
Liew G, Michaelides M, Bunce C. A comparison of the causes of blindness certifications in England and Wales in working age adults (16-64 years), 1999-2000 with 2009-2010. BMJ open. 2014;4(2):e004015.
Centers for Disease Control and Prevention (CDC). Blindness caused by diabetes-Massachusetts, 1987-1994. Available at: https://www.cdc.gov/mmwr/preview/mmwrhtml/00044274.htm. Accessed 01 May 2024.
Goh JKH, Cheung CY, Sim SS, Tan PC, Tan GSW, Wong TY. Retinal imaging techniques for diabetic retinopathy screening. J Diabetes Sci Technol. 2016;10(2):282-94.
Vujosevic S, Benetti E, Massignan F, Pilotto E, Varano M, Cavarzeran F, Avogaro A, et al. Screening for diabetic retinopathy: 1 and 3 nonmydriatic 45-degree digital fundus photographs vs 7 standard early treatment diabetic retinopathy study fields. Am J Ophthalmol. 2009;148(1):111-8.
Lin DY, Blumenkranz MS, Brothers RJ, Grosvenor DM. The sensitivity and specificity of single-field nonmydriatic monochromatic digital fundus photography with remote image interpretation for diabetic retinopathy screening: a comparison with ophthalmoscopy and standardized mydriatic color photography. Am J Ophthalmol. 2002;134(2):204-13.
Drexler W, Fujimoto J. State-of-the-art retinal optical coherence tomography. Prog Retin Eye Res. 2008;27(1):45-88.
Onokerhoraye AG. Occupational specialization by ethnic groups in the informal sector of the urban economies of traditional Nigerian cities: the case of Benin. Afr Stud Revi. 1977;20(1):53.
Radwan TM, Ghoneim EM, Ghobashy WA, Orma AA. Assessment of color vision in diabetic patients. Inter J Ophthal Res. 2015;1(1):19-23.
Swenor BK, Ehrlich JR. Ageing and vision loss: looking to the future. Lancet Global Health. 2021;9(4):e385-6.
Ismail GM. Color vision deficit in diabetes mellitus in presence of no or minimal diabetic retinopathy. Sudan J Ophthalmol. 2013;5(2):43-8.
Roy MS, Gunkel RD, Podgor MJ. Color vision defects in early diabetic retinopathy. Arch Ophthalmol. 1986;104(2):225-8.
Gella L, Raman R, Kulothungan V, Pal SS, Ganesan S, Sharma T. Impairment of colour vision in diabetes with no retinopathy: Sankara Nethralaya Diabetic Retinopathy Epidemiology and Molecular Genetics Study (SNDREAMS- II, Report 3). Pan CW, editor. PLOS ONE. 2015;10(6):e0129391.
Lopez M, Martin R, Martinez R, Garcia J, Sanchez R, Lopez I, et al. What is the cause of the impaired color vision in diabetic patients?. Investig Ophthalmol Visu Sci. 2002;43(13):564.