Diabetic Retinopathy Screening Update

Garg, Seema; Davis, Richard M.

doi:10.2337/diaclin.27.4.140

Cited by 89 publications

(86 citation statements)

References 39 publications

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“…On the other hand, patients who had poorly controlled diabetes with a history of DR or laser procedures, other eye diseases, pregnancy, or high-risk diabetic patients were not candidates for teleretinal screening and would benefit more from eye clinic follow-up [6][7]14]. An additional advantage of teleretinal imaging was the ability for the program to identify patients with previous DR or other eye diseases who had been lost to follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…At PVAMC, the target diabetic patients for teleretinal imaging are those who have not had an eye examination within the past year; those who failed to keep their eye clinic appointment or who failed to provide documentation of an eye examination by an eye care provider (optometrist or ophthalmologist); those with poorly controlled blood glucose on insulin or a HbA1C >8 percent but with no DR; and those with poorly controlled blood pressure, exceeding a systolic measurement of 140 mm Hg and a diastolic measurement of 90 mm Hg [6][7]14].…”

Section: Discussionmentioning

confidence: 99%

“…Early diagnosis and treatment of DR is important, because treatment is 90 percent effective in preventing blindness [3]. However, fewer than 50 percent of American diabetic patients receive annual DR screening examinations [5][6].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of diabetic teleretinal imaging program at the Portland Department of Veterans Affairs Medical Center

et al. 2015

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Abstract-We conducted a retrospective chart review of 200 diabetic patients who had teleretinal imaging performed between January 1, 2010, and January 1, 2011, at Portland Department of Veterans Affairs (VA) Medical Center outpatient clinics to assess the effectiveness of the diabetic teleretinal imaging program. Twenty patients (10%) had diabetic retinopathy. Ninety percent of the available teleretinal imaging studies were of adequate quality for interpretation. In accordance with local VA policy at that time, all teleretinal imaging patients should have been referred for a dilated retinal examination the following year. Image readers referred 97.5% of the patients to eye clinics for subsequent eye examinations, but the imagers scheduled appointments for only 80% of these patients. The redundancy rate, i.e., patients who had an eye examination within the past 6 mo, was 11%; the duplicate recall rate, i.e., patients who had a second teleretinal imaging performed within 1 yr of the eye examination, was 37%. Rates of timely diabetic eye examinations at clinics with teleretinal imaging programs, particularly when teleretinal imaging and eye clinics were colocated at the same community-based outpatient clinic, were higher than at those without a teleretinal imaging program. We concluded that the Portland VA Medical Center's teleretinal imaging program was successful in increasing the screening rate for diabetic retinopathy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Assessment of diabetic teleretinal imaging program at the Portland Department of Veterans Affairs Medical Center

et al. 2015

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“…Respecting the recommendations of the previous studies, first of all of ETDRS, and based on clinical evidence presented in recent studies, together with the conclusions of American Diabetes Assotiation (ADA) and American Academy of Ophthalmology ( AAO) [8,9,10,11,14], National Health and Medical Research Council (NHMRC) [18], National Guideline Clearinghouse [13], NHS (National Health Screening) program [15,16], etc. the following has to be remembered and it is sublimed in the presented algorithm of the Module 10 of Type 2 Diabetes Mellitus within Hong Kong Reference Framework for Diabetes Care for Adults [17,18].…”

Section: Important Issues In Diabetic Patients! When Establishing Thementioning

confidence: 99%

Retinal Complications in Diabetes Mellitus: Importance of Screening and Management

Golubovik

2014

Prilozi

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Introduction: Diabetic retinal complications are the most common cause of reduced visual acuity in persons aged 25 to 75 years. However, vision loss can be prevented or delayed if the changes are seen on time. Aim: By analyzing literature data to create an algorithm for careful follow-up of diabetic patients, which would prevent progression of the changes and development of conditions leading to blindness. At the same time, this paper presents certain changes of the eye fundus and mode of their treatment. Material and method: Analysis of studies published on diabetic retinopathy and screening conducted in developed countries, with creating an algorithm for follow-up of diabetic retinal changes and their management. Conclusion: Timely detection and treatment of diabetic retinopathy with application of protocols in developed countries as well as parallel correction of systemic risk factors for progression of diabetic retinopathy will reduce the possibility of visual impairment in diabetics due to retinal complications. At the same time expenditures related to more complicated and less effective surgical procedures will be reduced along with the societal concern.

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“…2,3 However, less than 50% of those with diabetes receive annual eye examinations. 4 Telemedicine screening using a nonmydriatic camera has emerged as a promising new technique for diabetic retinopathy because it has high diagnostic precision without requiring a face-to-face examination with an eye care provider. 5,6 It has also shown to increase the proportion of diabetic eye examinations compared to current surveillance techniques with eye care providers.…”

mentioning

confidence: 99%

Eye Disease in Patients with Diabetes Screened with Telemedicine

Park

Mansberger

2017

Telemedicine and e-Health

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The protocol of this study is registered as ''The Comparative Effectiveness of Telemedicine to Detect Diabetic Retinopathy'' with ClinicalTrials.gov having clinical trial registration number NCT01364129. AbstractBackground: Telemedicine with nonmydriatic cameras can detect not only diabetic retinopathy but also other eye disease. Objective: To determine the prevalence of eye diseases detected by telemedicine in a population with a high prevalence of minority and American Indian/Alaskan Native (AI/AN) ethnicities. Subjects and Methods: We recruited diabetic patients 18 years and older and used telemedicine with nonmydriatic cameras to detect eye disease. Two trained readers graded the images for diabetic retinopathy, age-related macular degeneration (ARMD), glaucomatous features, macular edema, and other eye disease using a standard protocol. We included both eyes for analysis and excluded images that were too poor to grade. Results: We included 820 eyes from 424 patients with 72.3% nonwhite ethnicity and 50.3% AI/AN heritage. While 283/424 (66.7%) patients had normal eye images, 120/424 (28.3%) had one disease identified; 15/424 (3.5%) had two diseases; and 6/424 (1.4%) had three diseases in one or both eyes. After diabetic retinopathy (104/424, 24.5%), the most common eye diseases were glaucomatous features (44/424, 10.4%) and dry ARMD (24/424, 5.7%). Seventeen percent (72/424, 17.0%) showed eye disease other than diabetic retinopathy. Conclusions: Telemedicine with nonmydriatic cameras detected diabetic retinopathy, as well as other visually significant eye disease. This suggests that a diabetic retinopathy screening program needs to detect and report other eye disease, including glaucoma and macular disease.

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Diabetic Retinopathy Screening Update

Cited by 89 publications

References 39 publications

Assessment of diabetic teleretinal imaging program at the Portland Department of Veterans Affairs Medical Center

Assessment of diabetic teleretinal imaging program at the Portland Department of Veterans Affairs Medical Center

Retinal Complications in Diabetes Mellitus: Importance of Screening and Management

Eye Disease in Patients with Diabetes Screened with Telemedicine

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