NON-MYDRIATIC RETINAL PHOTOGRAPHY AS A SCREENING SERVICE FOR GENERAL-PRACTITIONERS

被引:18
作者
ROGERS, D [1 ]
BITNERGLINDZICZ, M [1 ]
HARRIS, C [1 ]
YUDKIN, JS [1 ]
机构
[1] WHITTINGTON HOSP,ACAD UNIT DIABET & ENDOCRINOL,HIGHGATE HILL,LONDON N19 5NF,ENGLAND
关键词
Diabetic retinopathy; General practice; Non‐mydriatic retinal photography; Primary health care; Shared diabetes care;
D O I
10.1111/j.1464-5491.1990.tb01353.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Non‐mydriatic retinal photography was offered as a screening service to 37 general practitioners providing diabetes care in their practices. Of 84 patients photographed, 22 had appearances of diabetic retinopathy and these were compared with 25 of the remainder without retinopathy. In only seven of 11 patients with maculopathy or proliferative retinopathy had this been detected by their GP and, likewise, only six of 11 cases of probable background retinopathy had been detected. The mean annual examination rate in general practice was 33 (95% CI 18–47)%. Of the 18 cases in whom action in response to recommendations for follow‐up or referral could be ascertained, 15 (83%) had had the recommendations implemented. Thus, despite the potential risks of false‐negative screening using non‐mydriatic retinal photography, the technique may improve the comprehensiveness of screening in patients under the care of their GPs. 1990 Diabetes UK
引用
收藏
页码:165 / 167
页数:3
相关论文
共 17 条
[1]  
Ryder REJ, Vora JP, Ateia JA, Et al., Possible new method to improve detection of diabetic retinopathy: Polaroid non‐mydriatic photography, Br Med J, 291, pp. 1256-1257, (1985)
[2]  
Klein R., Klein BEK, Neider MW, Et al., Diabetic retinopathy as detected using ophthalmoscopy, a non‐mydriatic camera and a standard fundus camera, Ophthalmology, 92, pp. 485-491, (1985)
[3]  
Taylor R., Lovelock L., Tunbridge WMG, Et al., Non mydriatic polaroid photography for screening? A comparison with routine clinic ophthalmoscopy in 1812 eyes (Abstract), Diabetic Med, 5, (1988)
[4]  
Williams R., Nussey S., Humphrey R., Thompson G., Assessment of non‐mydriatic fundus photography in detection of diabetic retinopathy, Br Med J, 293, pp. 1140-1142, (1986)
[5]  
Ryder REJ, Young S., Vora JP, Et al., Screening for diabetic retinopathy using polaroid retinal photography through undilated pupils, Practical Diabetes International, 2, 5, pp. 34-39, (1985)
[6]  
Chantelau E., Zwecker M., Weiss H., Et al., Fundus polaroid screening for diabetic retinopathy. Is one print enough?, Diabetes Care, 12, pp. 223-226, (1989)
[7]  
Williams R., Nussey S., Thompson G., Assessment of non‐mydriatic photography in detection of diabetic retinopathy (Letter), BMJ, 293, (1986)
[8]  
Jones D., Dolben J., Owens DR, Et al., Non‐mydriatic Polaroid photography in screening for diabetic retinopathy: evaluation in a clinical setting, Br Med J, 296, pp. 1029-1030, (1988)
[9]  
Cheng H., Franklin S., Assessment of non‐mydriatic photography in detection of diabetic retinopathy (Letter), BMJ, 293, pp. 1571-1572, (1986)
[10]  
Barrie T., MacCuish AC, Assessment of non‐mydriatic fundus photography in detection of diabetic retinopathy (Letter), Br Med J, 293, pp. 1304-1305, (1986)