Teleoftalmología para el cribado de la retinopatía diabética: experiencia de 8 años

Ríos, Alicia; Bonaque-González, Sergio; Serrano-García, M.; Cabrera-López, Francisco; Abreu-Reyes, P.; Marrero-Saavedra, M.D.

doi:10.1016/j.oftal.2016.08.006

Cited by 18 publications

(3 citation statements)

References 21 publications

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“…In overall, the results of such a program are not immediate, and may be moderate in the early years of the implementation, before they gradually start to improve. 41 Although early recognition and treatment of diabetic retinopathy is of proven value in reversing or preventing loss of vision, the infrastructure to detect cases that require treatment is not yet universally available. 42 The familiarity of patients and primary care providers with tele-ophthalmology needs to be enhanced, so that issues regarding compliance will be curtailed.…”

Section: The Keys To Successful Implementationmentioning

confidence: 99%

The role of tele-ophthalmology in diabetic retinopathy screening

Kalogeropoulos

Stefaniotou

et al. 2020

Journal of Optometry

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Diabetic retinopathy (DR) is the leading cause of legal blindness in the United States. Considering the increasing incidence of DR, it is extremely important to detect the most cost-effective tools for DR screening, so as to manage this surge in demand and the socioeconomic burden it places on the health care system. Despite the advances in retinal imaging, analysis techniques are still superseded by expert ophthalmologist interpretation. Teleophthalmology presents an immense opportunity, with high rates of sensitivity and specificity, to manage the steadily increasing demand for eye care of patients with diabetes, but challenges remain in the delivery of practical, viable, and clinically proven solutions.

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Section: The Keys To Successful Implementationmentioning

confidence: 99%

The role of tele-ophthalmology in diabetic retinopathy screening

Kalogeropoulos

Stefaniotou

et al. 2020

Journal of Optometry

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“…There are multiple examples of regional telemedicine screenings, often covering rural areas in Australia, the US, Canada, Europe, and India. 18,[29][30][31][32][33][34][35][36][37][38] A graphical overview of population and selected regional DR screening programs, their implementation and outcome reporting, precisely instant or synchronous versus asynchronous store-and-forward reporting is represented in Table 1 and displayed in Figure 1.…”

Section: Historymentioning

confidence: 99%

<p>The Evolution of Diabetic Retinopathy Screening Programmes: A Chronology of Retinal Photography from 35 mm Slides to Artificial Intelligence</p>

Huemer¹,

Wagner²,

Sim³

2020

OPTH

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As a third of people with diabetes mellitus (DM) will suffer the microvascular complications of diabetic retinopathy (DR) and therapeutic options can effectively prevent visual impairment, systematic screening has substantially reduced disease burden in developed countries. In an effort to tackle the rising incidence of DM, screening programmes have modernized in synchrony with technical and infrastructural advancements. Patient evaluation has shifted from face-to-face ophthalmologist-based review delivered through community grassroots to asynchronous store-and-forward modern telemedicine platforms commissioned on a nationwide scale. First pioneered with primitive 35-mm slide film retinal photography, the last decade has seen an emergence of high resolution and widefield imaging devices, which may reveal extents of DR indiscernible to the clinician but with implications of potential earlier identification. Similar progress has been seen in image analysis approachesautomated image analysis of retinal photographs of DR has evolved from qualitative feature detection to rules-based algorithms to autonomous artificial intelligence-powered classification. Such models have, relatively rapidly, been validated and are now receiving approval from health regulation authorities with deployment into the clinical sphere. In this review, we chart the evolution of global DR screening programmes since their inception highlighting major milestones in healthcare infrastructure, telemedicine approaches and imaging devices that have shaped the robust and effective frameworks recognised today. We also provide an outlook for the future of DR screening in the context of recent technological advancements with respect to their limitations in current times.

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“…Ophthalmic imaging has been established as an effective screening modality for DR in various studies. [ 6 7 8 9 10 ] A single-field nonmydriatic fundus image showed good sensitivity and specificity in detection of any DR/referable DR.[ 11 ] Similarly, in a large, widely distributed DR ocular telehealth program, as compared with nonmydriatic fundus photography (NMFP), nonmydriatic ultra-widefield imaging reduced the number of ungradable eyes by 81%, increased the identification of DR nearly two-fold, and identified peripheral lesions suggesting more severe DR in almost 10% of patients, thus demonstrating significant benefits of this imaging method for large DR teleophthalmology programs. [ 10 ] Teleophthalmology has shown benefit in improving access to DR care in the rural areas.…”

mentioning

confidence: 99%