Cribado de retinopatía diabética y teleoftalmología

Rubio, M.P. Talavera; Moya, M. Moya; Bernabé, A. Bellot; Martínez, José Belmonte

doi:10.1016/j.oftal.2012.04.004

Cited by 18 publications

(10 citation statements)

References 19 publications

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“…Images obtained with nonmydriatic digital camera are efficient in detecting DR and grading the disease process. 38 Rubio et al 39 reported that 2,435 diabetic patients (age: >18 years, mean: 62 years) underwent retinal imaging with a nonmydriatic retinograph (Topcon TRC-NW 100, Vision Systems Inc., Tarpon Springs, FL, USA) handled by a trained nurse. Remote reading of images is done by an expert for diagnosis and treatment guidance.…”

Section: Methodsmentioning

confidence: 99%

Teleophthalmology: improving patient outcomes?

Sreelatha

Ramesh

2016

OPTH

117

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Teleophthalmology is gaining importance as an effective eye care delivery modality worldwide. In many developing countries, teleophthalmology is being utilized to provide quality eye care to the underserved urban population and the unserved remote rural population. Over the years, technological innovations have led to improvement in evidence and teleophthalmology has evolved from a research tool to a clinical tool. The majority of the current teleophthalmology services concentrate on patient screening and appropriate referral to experts. Specialty care using teleophthalmology services for the pediatric group includes screening as well as providing timely care for retinopathy of prematurity (ROP). Among geriatric eye diseases, specialty teleophthalmology care is focused toward screening and referral for diabetic retinopathy (DR), glaucoma, age-related macular degeneration (ARMD), and other sight-threatening conditions. Comprehensive vision screening and refractive error services are generally covered as part of most of the teleophthalmology methods. Over the past decades, outcome assessment of health care system includes patients’ assessments on their health, care, and services they receive. Outcomes, by and large, remain the ultimate validators of the effectiveness and quality of medical care. Teleophthalmology produces the same desired clinical outcome as the traditional system. Remote portals allow specialists to provide care over a larger region, thereby improving health outcomes and increasing accessibility of specialty care to a larger population. A high satisfaction level and acceptance is reported in the majority of the studies because of increased accessibility and reduced traveling cost and time. Considering the improved quality of patient care and patient satisfaction reported for these telemedicine services, this review explores how teleophthalmology helps to improve patient outcomes.

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Section: Methodsmentioning

confidence: 99%

Teleophthalmology: improving patient outcomes?

Sreelatha

Ramesh

2016

OPTH

117

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“…Approximately 27% of patients with moderate-to-severe NPDR and PDR were referred for further evaluation in the present study, while < 20% of patients received this referral in previous studies. This might be due to differences in the inclusion criteria, screening methods, and ethnicity of the study population [ 28 - 30 ]. Massin et al reported that 25% of the patients had been referred to the hospital, including those with cataract and poor-quality photographs in addition to diabetes [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Eight years’ experience in mobile teleophthalmology for diabetic retinopathy screening

Appukumran¹,

Shyamsundar²,

Agrawal³

et al. 2023

Med Hypothesis Discov Innov Ophthalmol

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Background: Screening for diabetic retinopathy in the community without compromising the routine workof ophthalmologists at hospitals is the essence of teleophthalmology. This study was aimed at investigating theefficacy of teleophthalmology practice for screening diabetic retinopathy from 2012 to 2020. It was also aimed at comparing the 2-year prevalence of camps organized by a district hospital in South India, as well as the footfall, reporting, follow-up, patient response, and diagnostic efficacy at these camps. Methods: All patients with diabetes and unexplained vision deterioration attending the mobile camp unitsunderwent non-dilated fundus photography. Patients underwent teleconsultation with the ophthalmologist atthe district hospital, and those requiring intervention were called to the district hospital. Trends were studiedfor the number of patients reporting to the hospital. Patient satisfaction was recorded based on a questionnaire. Results: A total of 682 camps were held over 8 years, and 30 230 patients were examined. Teleconsultationwas done for 12 157 (40.21%) patients. Patients requiring further investigations, intervention for diabeticretinopathy, or further management of other ocular pathologies were urgently referred to the district hospital(n= 3293 [10.89%] of 30 230 examined patients). The severity and presence of clinically significant macularedema increased significantly with an increased duration of diabetes mellitus (P < 0.001). The percentage ofteleconsultations showed an increasing trend over the years (P = 0.001). Similarly, considering trends of patientsreporting to the hospital, the attrition rate decreased over the years (P < 0.05). A total of 10 974 of 12 157(90.27%) patients who underwent teleophthalmic consultation were satisfied with the service. Conclusions: Teleconsultations over the years showed an increasing trend, and the attrition rate decreased overthe years. Teleophthalmology is achieving success in providing high-quality service, easy access to care, and inincreasing patient satisfaction. Future studies on the role of teleophthalmology for other leading preventablecauses of blindness seem possible and necessary.

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“…Si revisamos estudios realizados en España a partir del año 20006, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, encontramos características poblacionales similares pero con gran variabilidad metodológica, obteniendo prevalencias que varían el 7,20% y el 37,50%.…”

Section: Introductionunclassified

Prevalencia y factores de riesgo asociados a la retinopatía diabética en Santander. Norte de España

et al. 2020

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ResumenObjetivosEvaluar la prevalencia, severidad y factores de riesgo asociados a la retinopatía diabética (RD) en Cantabria.DiseñoEstudio transversal de base poblacional.EmplazamientoCentro de salud de Cantabria.ParticipantesMuestra aleatoria de 442 pacientes con diabetes mellitus tipo 2.Mediciones principalesRetinografía no midriática, clasificándolas según la International Clinical Diabetic Retinopathy Disease Severity Scale. Los factores de riesgo estudiados: edad, sexo, edad diagnóstico, años de evolución de la diabetes, grado de control glucémico (HbA1c), tratamiento de la diabetes, control de la tensión arterial, control lipídico, obesidad, tabaquismo, hematocrito bajo, embarazo, déficit de vitamina D, nefropatía y eventos cardiovasculares.ResultadosPrevalencia de RD del 8,56% (IC: 5,81-11,32). RD no proliferativa leve: 5,07% (IC: 2,89-7,25); RD no proliferativa moderada: 1,38% (IC: 0,17-2,60); RD no proliferativa severa: 0,27% (IC: 0,006-1,28); RD proliferativa: 1,84% (IC: 0,46-3,22); edema macular diabético: 2,30% (IC: 0,77-3,83). Edad media: 70 años, edad de diagnóstico 58,97 años; índice de masa corporal 29,86; hipertensos 78,40%; dislipidemia 67,30% y HbA1c mediana 6,76%. El déficit de 25 (OH) D fue del 77%. En el análisis multivariante los factores independientes fueron tratamiento de la diabetes mellitus tipo 2, índice de masa corporal, años de evolución y control de la diabetes.ConclusionesLa prevalencia de RD ha disminuido hasta el 8,56%; esta disminución se asocia a la mejora en el control de los factores de riesgo modificables. Los factores de riesgo asociados de forma independiente fueron: tratamiento, índice de masa corporal, años de evolución y control de la diabetes. Las variables control hipertensión arterial, eventos cardiovasculares y nefropatía también mostraron capacidad predictiva para la RD.

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Cribado de retinopatía diabética y teleoftalmología

Cited by 18 publications

References 19 publications

Teleophthalmology: improving patient outcomes?

Teleophthalmology: improving patient outcomes?

Eight years’ experience in mobile teleophthalmology for diabetic retinopathy screening

Prevalencia y factores de riesgo asociados a la retinopatía diabética en Santander. Norte de España

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