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New research · Ophthalmology
Acta ophthalmologica · 4d
Cohort studyActa ophthalmologica · 2026

Type 2 diabetes and diabetic retinopathy in Finland during 2000-2017 based on nationwide survey and register data.

Petri Purola, Jorma Lahtela, Katri Sääksjärvi … Hannu Uusitalo
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OphthalmologyCohort study

Diabetic retinopathy incidence among type 2 diabetes patients fell sharply from 2000 to 2017.

Type 2 diabetes and diabetic retinopathy in Finland during 2000-2017 based on nationwide survey and register data.

Petri Purola … Hannu Uusitalo
Acta ophthalmologica · 2026
Purpose

To evaluate changes in the prevalence and incidence of type 2 diabetes, the association between type 2 diabetes and diabetic retinopathy (diabetic retinopathy), and the impact of type 2 diabetes and diabetic retinopathy on visual acuity (visual acuity) in Finland during 2000-2017.

Methods

We used three nationwide health examination surveys conducted in 2000, 2011 and 2017, with a total of 18 966 participants representing the Finnish population aged 18 years and older.

n = 966 participants
Results

eye exams for diabetes patients found far fewer cases of retinal damage

2.6%
Before
9.6%
After
More results

The prevalence of type 2 diabetes increased from 2.6% to 9.6% between 2000 and 2017, while its annual incidence increased from 0.5% to 0.7%.

More results

Both distance and near visual acuity were the best among individuals without diabetes, significantly worse among type 2 diabetes patients without diabetic retinopathy, and the worst among type 2 diabetes patients with diabetic retinopathy.

Both distance and near VAs significantly improved between 2000 and 2017 in these study groups.

“
Conclusion · 1 of 2

The prevalence of type 2 diabetes has increased during the 2000s, which can be explained by the improved screening and unfavourable changes in lifestyle.

Conclusion · 2 of 2

However, the incidence of diabetic retinopathy has decreased among type 2 diabetes patients, indicating the successful development and effectiveness of screening and therapies for both diabetes and diabetic retinopathy.

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