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[This retracts the article DOI: 10.7759/cureus.18053.].
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Context: Diabetic retinopathy (DR) is an avoidable retinal disorder affecting the retina and is deemed the most common microvascular complication of diabetes mellitus (DM). Aims: This study aimed to estimate the awareness and attitude of type 2 diabetic patients toward DR. Methods and Materials: A study questionnaire was distributed among Saudi patients with type 2 DM who visited primary health care at Abha, Saudi Arabia, after obtaining an ethical approval. It was a modified questionnaire and included basic demographic characteristics of the patients, general knowledge and awareness of DM and DR, and their practices toward eye examination. Statistical Analysis Used: Data analysis was performed using SPSS software. Chi-square and z-proportionality tests were applied where appropriate. Results: A total of 381 patients with DM responded to our survey; 36% of them had DM for five years or less. Notably, 93.5% of participants knew that diabetes can cause eye disease but only 63.3% agreed that regular eye examination for diabetic patients is necessary, with a significant difference of DM duration (p = 0.01). A total of 217 (57%) patients thought that there is no need to visit an ophthalmologist if diabetes is under control. However, 74.5% believed that patients with type 2 DM should go for an eye examination once diagnosed, with a significant difference between disease duration subgroups (p = 0.006). Conclusion: The current study demonstrated high levels of awareness regarding the effect of DM on the eye and importance of early eye assessment. However, we need to improve the patients' awareness to the value of regular eye checking and standard practices.
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Acute abdominal pain is a common cause of visits to the emergency department. Acute appendicitis remains the most common indication for abdominal surgical intervention in the pediatric age group. However, several conditions may present with a clinical picture similar to that of acute appendicitis. We report the case of a 7-year-old girl with a history of right lower quadrant abdominal pain of two days in duration. The pain was associated with vomiting and was exacerbated by movement. Abdominal examination revealed a localized tenderness in the right iliac fossa with guarding, giving the impression of acute appendicitis. After a thorough investigation, the patient was diagnosed as having acute omental infarction given the radiological findings seen in the computed tomography scan. The patient was successfully managed conservatively with analgesics and anti-inflammatory drugs. Physicians should keep a high index of suspicion for this condition when encountering a patient presenting with an acute right lower quadrant abdominal pain. Imaging modalities play a pivotal role in making the diagnosis.