BACKGROUND AND OBJECTIVE:
This study examines the rate of adherence to recommended ophthalmology follow-up after primary care-based telemedicine diabetic retinopathy (DR) screening.
PATIENTS AND METHODS:
Retrospective observational study of 5,764 insured diabetic patients undergoing telemedicine DR screening between May 2015 and April 2017 in an urban primary care setting. Patients underwent non-mydriatic fundus photography for telemedicine DR screening. The main outcome measure was the “capture rate.”
RESULTS:
Of the patients studied, 31.7% were found to have any retinal pathology, and 20% were found to have DR. In the 11.8% percent of patients with sight-threatening retinopathy who were recommended to have a retinal examination, the capture rate was 81.9%.
CONCLUSION:
The authors' study demonstrated higher capture rate than has been previously reported, indicating that telemedicine DR screening in an urban, insured population may be a useful method for triaging high-risk patients without losing patients to follow-up.
[
Ophthalmic Surg Lasers Imaging Retina.
2019;50: e274–e277.]
Purpose: To describe the novel finding of spontaneous resolution of a full-thickness macular hole resulting from YAG laser capsulotomy in a 13-year-old girl with previous history of retinal detachment repair and cataract surgery.Methods: A 13-year-old girl who had developed a macular hole after YAG laser was noted to have spontaneous resolution of the macular hole at 2-week follow-up visit with concurrent increase in visual acuity. Institutional review board was not applicable for this case.Results: Spontaneous resolution of a YAG laser-induced macular hole in a pediatric patient.Conclusion: This is a novel report in a pediatric patient of spontaneous resolution of a full-thickness macular hole induced by YAG laser capsulotomy. If a macular hole is noted after YAG capsulotomy, consideration should be given to initial close observation rather than surgical intervention as spontaneous resolution may occur.
Purpose: To report the novel finding of multiple recurrences of full-thickness macular hole in a 70-year-old woman with one episode of spontaneous closure.Methods: Case report of a 70-year-old woman who initially presented with a fullthickness macular hole who developed 3 subsequent recurrences of full-thickness macular hole over a duration of 4 years. Spontaneous closure was noted at the second recurrence. Institutional review board was not applicable for this case.Results: Combination of three recurrences of full-thickness macular hole with successful closure after vitrectomy as well as a single episode of spontaneous closure.Conclusion: This is a novel report in an adult patient with three recurrences of fullthickness macular hole in a previously vitrectomized eye along with an episode of spontaneous closure.
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