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Dr. Rajarshi Ash

Consultant Ophthalmologist & Physician, India

Presentation Title:

Association between presence of proteinuria & diabetic retinopathy as well as their relation with serum 25(OH)VitD level deficiency among type 2 diabetic patients: A tertiary care hospital based cross-sectional study in Eastern India

Abstract

Background: Diabetes Mellitus(DM) is a major public health problem which is rapidly escalating globally as well as in India affecting all age & sex group. Dreaded micro-vascular complications of  DM include diabetic retinopthy and nephropathy.In parallel to increase in prevalence of DM and its complications, several reports of serum 25(OH) VitD deficiency have been documented in India.

Objective: To establish the association between proteinuria and presence as well as severity of diabetic retinopathy & their relation with VitD deficiency.

Materials & Methods: The current study was conducted in a tertiary care teaching hospital in Kolkata of India, approved by the institutional Research & Ethics Committee. In this present study,107 Type 2 diabetic patients of 40 yrs of age & above were selected. Direct Ophthalmoscopy(Heine β - 200) was used for detection of Diabetic Retinopthy(DR)and grading of  DR . Venous blood for FBS,PPBS, HbA1C  and 25(OH)VitD level estimtion was taken aseptically. Urinary protein was tested by Dip stick method.

Results & Conclusion: Results were analysed by using SPSS version 20. Kolmogorov-Smirnov, Spiro-Wilk test, Chi square test, Fischer Exact test,Man Whitney U & Kruscal Wallis test were used in statistical analysis as appropriate. Results showed that Proteinuria was present in highest percentage of total patients. Our data are not normally distributed. There was statistically significant association between proteinuria and presence as well as severity of Diabetic retinopathy. In our study, the presence of proteinuria is significantly associated with deficiency of serum VitD level in diabetics without retinopathy group, patients with ‘Severe NPDR’ & total patients i.e patients with or without DR. Deficient VitD status is significantly associated with severity of Diabetic Retinopthy in presence of proteinuria.  

Biography

  • Dr. Rajarshi Ash, M.B.B.S.(C.U.); D.O.(Ophthalmology);M.D.(Medical Physiology)
  • He is 'Assistant Medical Superintendent' of Gourhati ESI Hospital under  ESI(MB) Scheme of Labour Department; Govt. of West Bengal at present.
  • He has been practising in the field of 'Ophthalmology' & 'General  Medicine' for last 24 yrs in Hooghly district of West Bengal; India. 
  • He got ‘Binapani Baladev’ Silver Medal in Pathology & ‘Kalyani Nandi’ Gold Medal in Psychiatry during M.B.B.S. curriculum in R.G.Kar Medical College & Hospital.
  • He was 'University Topper' in MD Examination'2021 in his discipline under West Bengal University of Health Sciences(WBUHS). 
  • He has 6 research publications till now in several National & International journals indexed by Embase, DOAJ & Scopus.
  • He presented his research papers in 2nd Global meeting  on 'Diabetes & Endocrinology' in Paris, organized by 'Scientex Conferences' in 2022 & Indo-Bangladesh Friendship International Conference in 2024 on Community  Eye Health Care in Gopalganj of Bangladesh outside India. 
  • He also participated as speaker in 65th Annual National Conference of APPI in 2019,8th Annual State Conferrence of APPI in 2020,35th Annual Conference of EIZOC in 2022, 54th Annual Conference of OSWB in 2023 & 5th Annual Meeting of ACOIN Chhattisgarh State Oration Chapter in 2024 within India.
  • He obtained ISSN Award'2023 and Asia Research Award'2024 & World Healthcare Award’ 2024. 
  • Life Member of APPI,OSWB,ACOIN,EIZOC & KAO
  • He is good recitator and painter also.