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CPS1494 Senthilvel V. et al.
            1.  Introduction
                Diabetes  mellitus  (DM)  is  commonly  called  as  diabetes,  it  is  a  chronic
            disease World Health Organization and it is caused by the deficiency in the
            production of insulin by the pancreas or by a deficit of the insulin produced in
            the human body.  DM is a metabolic disorder in which there are high blood
            sugar levels over a long period in the human blood.  DM causes considerable
            morbidity and mortality, affecting about 180 million people worldwide World
            Health  Organization  and  the  Royal  College  of  Ophthalmologists
            (2013).  In some of the studies, the blindness from diabetes is almost entirely
            preventable  with  early  diagnosis,  controlling  the  risk  factors  and  timely
            treatments  with  ophthalmologist  the  Diabetic  Retinopathy  Study  Research
            Group (1981) and Early Treatment Diabetic Retinopathy Study Research Group
            (1991).  It  is  a  public  health  problem  both  in  developing  and  developed
            countries.  The disease is classified into two according to the distinct groups
            of patients. They are type I diabetes and type II diabetes.  Its prevalence is
            getting  increased  day  by  day  due  to  variations  have  taken  place  in  both
            demographic and epidemiology as a result of urbanization, industrialization,
            and globalization.  Its prevalence is calculated to increase from 4% in 1995 to
            5.4% by 2025. While considering diabetes prevalence, there is a 42% increase
            in developed countries and 170% increase in the developing countries. As per
            the new statistical result, there are approximately 33 million diabetic adults in
            India.   India is becoming as diabetes mellitus patients’ capital of the world
            within the year 2025 predicted by Wild, S. et al (2004).
                Diabetic  Retinopathy  (DR)  is  a  microvascular  complication  of  diabetes
            mellitus Cheung, N et al. (2010) [6].  DR causes complete blindness in both
            developing  and  developed  countries.  There  is  25  times  chance  of  getting
            blindness in diabetics than non-diabetics. Though Diabetes Mellitus causes
            many microvascular complications, retinopathy is considered to be the main
            morbidity as it threatens vision.   DR is causing blindness in the world level and
            70% people were affected those who were living in under developing income
            countries  Diabetic  Retinopathy  PPP  –  Updated  (2017)  and  Tapp,  R.J.  et  al.
            (2003).  Diabetic Retinopathy is a dreadful complication and every part of the
            eye will be affected.  The factors responsible for the development of Diabetic
            Retinopathy  are  the  duration  of  diabetes,  poor  glycemic  control,  age  and
            gender, hypertension, nephropathy, genetics, serum lipids, anemia, puberty,
            socioeconomic status, pregnancy The Diabetic Retinopathy Study Research
            Group  (1981),  Chakrabarti,  R.  et  al.  (2012),  Kim  J.H,  et  al.  (2011),  and
            Vasudevan, S. (2017).  Duration of Diabetes Mellitus and glycemic control has
            a direct and indirect relationship between DR.  Hypertension is also increases
            the risk of DR in a Type II DM patients.  The main objectives of our present
            study  were  to  determine  the  prevalence  of  Diabetic  Retinopathy  among



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