ing pregnancy due to higher estrogen and progesterone levels , the overall findings regarding gender and DR severity remain complex.[ 21 22 ] A systematic review and meta-analysis of 49 studies reported no significant gender effect on DR or clinically significant macular edema prevalence, with only marginal significance observed in vision-threatening DR.[ 2 ] These mixed findings suggest that the relationship between gender and DR is complex and influenced by multiple factors.
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Referral patterns and screening outcomes for diabetic retinopathy in a secondary care center in Oman.
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