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Lirra Aisya
Universitas Sultan Ageng Tirtayasa

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The Relationship Between Hypertension and the Incidence of Diabetic Retinopathy in Patients with Type 2 Diabetes Mellitus at RSUD Banten Lirra Aisya; Habib Burahman; Maytia Pratiwishita
International Journal of Medicine and Public Health Vol 3, No 1 (2026): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v3i1.41074

Abstract

Diabetic retinopathy is one of the most common microvascular complications in patients with type 2 diabetes mellitus (T2DM) and a significant cause of blindness. This study aimed to analyze the association between hypertension and the incidence of diabetic retinopathy in T2DM patients at RSUD Banten. This study used a cross-sectional design with a retrospective approach based on medical records. A total of 62 T2DM patients at RSUD Banten during the period 2023–2025 were selected using non-probability consecutive sampling. Hypertension status was determined based on blood pressure ≥140/90 mmHg, a physician diagnosis of hypertension, or documented use of antihypertensive medication, while diabetic retinopathy was assessed through funduscopy or fundus photography findings. Of 62 subjects, 31 (50%) had hypertension and 23 (37.1%) had diabetic retinopathy. The proportion of diabetic retinopathy in the hypertension group was 41.9% and 32.3% in the non-hypertension group. Chi-Square analysis showed no significant association between hypertension and diabetic retinopathy (p = 0.430; PR = 1.30; 95% CI 0.674–2.508). The mean HbA1c was 5.48% ± 0.58%, indicating well-controlled glycemia across all subjects. There is no significant association between hypertension and diabetic retinopathy in T2DM patients at RSUD Banten. These findings suggest that in patients with controlled glycemia, hypertension alone may not be sufficient to demonstrate a significant contribution to diabetic retinopathy, highlighting the multifactorial nature of this complication.