A REPORT ON THE USE OF TECHNICIAN OPHTHALMOSCOPY COMBINED WITH THE USE OF THE CANON NONMYDRIATIC CAMERA IN SCREENING FOR DIABETIC-RETINOPATHY IN THE COMMUNITY

被引：27

作者：

JACOB, J

STEAD, J

SYKES, J

TAYLOR, D

TOOKE, JE

机构：

[1] Exeter District Diabetes Centre, Exeter, Devon, EX2 5DW, Barrack Road

来源：

DIABETIC MEDICINE | 1995年 / 12卷 / 05期

关键词：

DIABETIC RETINOPATHY; COMMUNITY SCREENING; TECHNICIAN; CAMERA; PREVALENCE;

D O I：

10.1111/j.1464-5491.1995.tb00506.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This paper describes a general practice based diabetic retinopathy screening service employing a technician trained in direct and indirect ophthalmoscopy and taking photographs with a Canon CR3 45 NM non-mydriatic polaroid camera analysed by a consultant ophthalmologist to provide a comparison with the screener's opinion. Prospective data is presented from the first 1050 patients screened for diabetic retinopathy in the Exeter Health Authority area. Analysis of data collected showed a prevalence of diabetic retinopathy in the screened population of 27 %, 14 % previously undetected with a 0.5 % prevalence of sight-threatening retinopathy. There was almost complete agreement between ophthalmoscopy findings and the consultant analysis of photographs. Screening costs were calculated at pound 10.38 per patient screened. A specially trained non-medically qualified technician can provide a good quality cost-effective screening service for diabetic retinopathy within a primary care setting.

引用

页码：419 / 425

页数：7

共 16 条

[1]

1981. Photocoagulation Treatment of Proliferative Diabetic Retinopathy, Ophthalmology, 88, pp. 583-600, (1981)

[2]

Diabetic Retinopathy Study Research Group Photocoagulation Treatment of Proliferative Diabetic Retinopathy, Arch Ophthal, 103, pp. 1796-1806, (1985)

[3]

Diabetes Care and Research in Europe. The St. Vincent Declaration, Diabetic Med, 7, (1990)

[4]

Burns-Cox CJ, Hart, Screening for Retinopathy by Ophthalmic Opticians, BMJ, 290, pp. 1052-1054, (1985)

[5]

Foulds WS, McCuish A., Barrie T., Green I., Scobie IN, Ghafour IM., Diabetic Retinopathy in West of Scotland. Its Detection and Prevalence and Cost Effectiveness of a Proposed Screening Programme, Health Bulletin, 41, pp. 318-336, (1983)

[6]

Buxton MJ, Sculpher MJ, Ferguson BA, Humphreys JE, Altman JFB, Spiegelhalter DJ., Screening for Treatable Diabetic Retinopathy. A Comparison of Different Methods, Diabetic Med, 8, pp. 371-377, (1991)

[7]

Moss SE, Klein R., Kessler SD, Richie KA., Comparison between ophthalmoscopy and fundus photography in determining severity of diabetic retinopathy, Ophthalmology, 92, pp. 62-67, (1985)

[8]

Stead JW, Dudbridge SB, Hall MS, Pereira-Gray DJ., The Exeter Diabetic Project, an acceptable district‐wide educational programme for general practitioners, Diabetic Med, 8, pp. 866-869, (1991)

[9]

Jacob J., Stead J., Sykes J., Taylor D., Tooke JE., Can non‐medically qualified personnel be trained as diabetic retinopathy screeners?, Diabertic Med, 9, (1992)

[10]

Forrest RD, Jackson CA, Yudkin JS., Screening for diabetic retinopathy—comparison of a nurse and a doctor with retinal photography, Diabetes Res, 5, pp. 39-42, (1987)

← 1 2 →