Self-reported eye diseases among American Indian individuals with type 2 diabetes from the northern Midwest

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Purpose. To determine the prevalence of self-reported eye diseases and self-reported utilization of dilated eye exams among a sample of American Indian (AI) individuals with type 2 diabetes. Methods. AI adults with type 2 diabetes utilizing health care at two reservation clinics were randomly sampled and recruited for interviewer-assisted paper surveys. The prevalence of eye diseases was compared across gender, age, income, and educational attainment. Results. The prevalence of self-reported diabetic retinopathy, cataract, macular degeneration, and glaucoma were 9.4%, 26.7%, 5.2%, and 10.6% respectively, and 59.2% reported past year dilated eye exams. Older participants were more likely to report cataract (p < 0.001) and glaucoma (p = .003). Those with lower income were more likely to report cataract (p = 0.001). Conclusions. Rates of self-reported eye diseases in this sample were higher, and dilated eye exams lower than other samples of the general United States population with diabetes, suggesting improvement can be made to improve the provision of care for AI individuals with type 2 diabetes.