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CPS1494 Senthilvel V. et al.
            as 19.3%.  Moreover, in some other studies the prevalence of DR was 41% by
            Pamu, N. J. et al. (2014), 44.4% Giri, P. A. et al. (2012), 34.08% Liu, Y. et al. (2017),
            36.4% Ahmed, R. A. et al., and 27.9% by Zhang, G et al. (2017).  Furthermore,
            the prevalence of DR in our study was higher than those documented in other
            studies  21.7%  by  Gadkari,  S.  S.  et  al.  (2016)  and  18%  by  Kim,  J.  H.  et  al.
            (2011).  The difference in the prevalence rate is due to the fact in that many of
            the  studies  were  population-based  and  due  to the  different  screening
            techniques adopted.
                The mean age of the participants was a little bit high than a study was
            conducted  in  Pondicherry,  South  India  by  Vasudevan,  S.  et.  al.
            (2017).  Furthermore, the similar type of results was mentioned in another one
            study on the prevalence of DR and its associated factors in a rural area of Tamil
            Nadu, South India was done by Nadarajan, B. et. al. (2017).  Whereas the mean
            age of the participants was found as very high 69.2 ± 8.5 years in a study by
            Wang, J. et al. (2013)  in Guangzhou, China.  DR prevalence is higher in the
            female when compared with male population.  The similar type of results have
            been mentioned in a Chennai Urban Rural Epidemiology Study (CURES) Eye
            Study I by Rema, M. et al. (2005).  In our study, we have found that the mean
            duration of DM was 16.62 ± 7.57 years.  In our present study, 34.9% of DM
            patients had DR for 10 years and above and 14.1% of DM patients had DR less
            than or equal to 10 years.  The test was statistically highly significant with p-
            value < 0.01 as shown in Figure – 3. Whereas one study from Karnataka by
            Nayak,  S.  et  al.  (2017)  have  mentioned  the  very  high  prevalence  of  DR  as
            mentioned half percentage for more than 10 years and a similar percentage
            were having DM more than 5 years. Retinopathy increases with younger age
            at onset of diabetes and showed a significant association between DR and
            duration of diabetes, which  is consistent with most of the previous studies
            Pamu, N. J. et al. (2014), Giri, P. A. et al. (2012), Liu, Y. et al. (2017), and Ahmed,
            R. A. et al., (2016).  The risk factors like duration of DM, HbA1C, FBS, history of
            hypertension  and  medication  also  showed  a  higher  significance  with
            DR.  However, we didn’t find any significant association between DR and age,
            gender, education, family history of DM, total cholesterol and BMI.  Similarly, a
            study by Liu, Y. et al. (2017) also didn’t find any association with gender but
            showed association with duration of the disease.
                Out  of  the  150  Type  II  DM  patients,  85  were  males  and  55  were
            females.   Among  that  23.5%  of  the  males  and  29.2%  of  the  females  were
            affected  by  DR.   The  age  group  of  the  study  ranged  from  31  –  84
            years.  Majority of the patients in our study were aged above 50 years and DR
            was also found in the mean age of 60.38 ± 9.06.  But the study by Pamu, N. J.
            et al. (2014) has shown a slight male preponderance in all age groups and the
            majority of diabetic patients in the age group of 41 – 50 years.  Risk factors like
            BMI,  hypertension,  HbA1C,  duration  of  DM  and  microalbuminuria  were

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