SCREENING FOR DIABETIC-RETINOPATHY IN A WIDELY SPACED POPULATION USING NONMYDRIATIC FUNDUS PHOTOGRAPHY IN A MOBILE UNIT

被引：27

作者：

LEESE, GP

NEWTON, RW

JUNG, RT

HAINING, W

ELLINGFORD, A

STEWART, N

COLEIRO, J

BAINES, P

ROXBURGH, S

WOOD, R

SAWERS, S

DAVIES, R

JENNINGS, P

机构：

[1] Departments of Medicine, Ninewells Hospital and Medical School, Dundee

[2] Ninewells Hospital and Medical School, Dundee

来源：

DIABETIC MEDICINE | 1992年 / 9卷 / 05期

关键词：

DIABETIC RETINOPATHY; COMMUNITY SCREENING; NONMYDRIATIC PHOTOGRAPHY;

D O I：

10.1111/j.1464-5491.1992.tb01817.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A screening project was established to assess the prevalence and severity of retinopathy in diabetic patients in Tayside (area: 3000 square miles, population: 390 000). A questionnaire was used to examine patient acceptability. Of 2112 patients photographed during the first year, 32% had abnormal photographs; 20.2% had diabetic retinopathy; 7.4% cataracts; 4.6% non-diabetic eye disease. Among this patient population, 73% were registered at a hospital diabetic clinic. The overall prevalence of diabetic retinopathy was similar between the two groups (hospital 23% vs non-hospital 20%). The prevalence of severe diabetic retinopathy was also similar (hospital 8.5% vs non-hospital 10%). This had been previously unrecognized or incorrectly defined in 6.5% of those not attending a hospital diabetic clinic, compared to 3.7% attending the hospital clinic (p < 0.01). A favourable response to the service was indicated by 40% of patients with 7% unfavourable and 41% uncommitted. Non-mydriatic fundal photography housed in a mobile unit is a practical and effective method of assessing diabetic retinopathy. It is particularly suitable for screening in a widely spread population.

引用

页码：459 / 462

页数：4

共 10 条

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