Knowledge, attitude and practice regarding diabetic retinopathy screening and its management among diabetic patients at a private hospital of Riyadh, Saudi Arabia

Tariq Al-Asbali; Sakhr A Aldawari; Ibrahim A Alzahim; Hiba Alalawi; Rajiv Khandekar; Nancy M Lotfy

doi:10.4103/1319-4534.305040

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ORIGINAL ARTICLE

Year : 2020 \| Volume : 34 \| Issue : 2 \| Page : 85-93

Knowledge, attitude and practice regarding diabetic retinopathy screening and its management among diabetic patients at a private hospital of Riyadh, Saudi Arabia Tariq Al-Asbali¹, Sakhr A Aldawari², Ibrahim A Alzahim², Hiba Alalawi², Rajiv Khandekar³, Nancy M Lotfy⁴ ¹ Department of Ophthalmology, Specialised Medical Centre Hospital; Al Imam Muhammad Ibin Saud Islamic University College of Medicine, Riyadh, Saudi Arabia ² Department of Ophthalmology, Specialised Medical Centre Hospital, Riyadh, Saudi Arabia ³ Research Department, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia ⁴ Department of Ophthalmology, Ophthalmology, Faculty of Medicine, Cairo University, Egypt Correspondence Address: Tariq Al-Asbali Department of Ophthalmology, Faculty of Medicine, Cairo University, Al-Saray Street, El Manial, 11956 Cairo Saudi Arabia Source of Support: None, Conflict of Interest: None DOI: 10.4103/1319-4534.305040

PURPOSE: We present the KAP levels and the determinants for diabetic retinopathy (DR) screening and management at a private hospital in Riyadh, Saudi Arabia. METHODS: A chart review was performed of DM patients to collect the demographics and diabetes related information in June to December 2017. A close ended questionnaire was used that queried knowledge (7), attitude (5) and practice for DR screening (7). RESULTS: Two hundred participants were interviewed half from endocrinology unit and half from the eye clinic. An excellent knowledge of the ophthalmic effects of diabetes was noted in 91 [45.5% (95% Confidence Interval CI 38.6–52.4) of participants. Thirty-eight [19% (95% CI 13.6–24.4)] participants had a positive attitude. None had an excellent grade of practice and poor practice was noted in 168 [74% (95% CI 78.9–89.1)] participants. Longer duration of DM (P=0.07) and systemic complications (P=0.06) were associated with good knowledge. Attitude was not significantly associated with any determinants. Good practice was associated with the presence of systemic complications of DM (P<0.01) and those recruited to the eye clinic (P= 0.06). Only 35% of patients had undergone an annual DR screening. Only 4 patients had a history of laser treatment. CONCLUSION: The KAP of diabetic patients regarding DR screening and management is less than desired. Establishing protocols and public health promotion activities directed at early detection and management are urgently needed in private sectors of Saudi Arabia.



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