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Rema Mohan, DO; Babu Rajendran, MS; Viswanathan Mohan, MD; Ambady Ramachandran, MD; Moopil Viswanathan, MD; Eva Maria Kohner, MD, FRCP

Arch Ophthalmol. 1985;103(10):1487-1489.

Abstract
• In a study of the retinopathy profile of 40 patients with tropical pancreatic diabetes, a form of secondary diabetes seen in tropical countries, diabetic retinopathy was detected in 13 patients. Ten patients had background retinopathy and three patients had proliferative retinopathy requiring laser photocoagulation. In two patients, fibrous retinitis proliferans was present. Three patients had evidence of diabetic maculopathy. To our knowledge, this is the first report of severe and sight-threatening retinopathy occurring with secondary diabetes. Retinopathy in these forms of diabetes has hitherto been considered to be rare or, if present, only of a mild background type.

Author Affiliations
From the Diabetes Research Centre (V. R. Ramanath Research Laboratory for Advanced Research in Diabetes), Madras, India (Drs R. Mohan, Rajendran, V. Mohan, Ramachandran, and Viswanathan), and the Department of Medicine, Royal Postgraduate Medical School, London (Dr Kohner).

Footnotes
Accepted for publication June 11, 1985.

Reprint requests to 5 Main Rd, Royapuram, Madras 600013, India (Dr R. Mohan).

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