Prospective comparison of two methods of screening for diabetic retinopathy by nonmydriatic fundus camera

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Abstract

Purpose: To compare the results obtained by two screening techniques for diabetic retinopathy. Methods: Patients were assessed in two groups, according to whether the retinal images were analyzed by the general practitioner (Group 1) or by the ophthalmologist (Group 2) in a two- year prospective study using telemedicine. Results: The number of patients referred to the nonmydriatic fundus camera unit was higher in Group 1 than in Group 2 (63.80% versus 17.63%). Greater patient adherence was observed in Group 1 than in Group 2 when patients came to retinography (98.25% versus 87.52%). There were no significant differences in other technique variables. The prevalence of diabetic retinopathy was similar in both groups (8.98% in Group 1 and 9.16% in Group 2), but the prevalence of severe proliferative diabetic retinopathy was higher in Group 2 (1.69% [severe] and 0.45% [proliferative]) than in Group 1 (1.01% and 0.11%, respectively). Diabetic macular edema was more prevalent in Group 2 (2.03%). Conclusions: The inclusion of general practitioners in the screening method seems to be important. A great number of patients with diabetes mellitus were screened, and a higher percentage of patients with diabetic retinopathy or macular edema were detected. © 2010 Romero-Aroca et al.

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Romero-Aroca, P., Sagarra-Alamo, R., Basora-Gallisa, J., Basora-Gallisa, T., Baget-Bernaldiz, M., & Bautista-Perez, A. (2010). Prospective comparison of two methods of screening for diabetic retinopathy by nonmydriatic fundus camera. Clinical Ophthalmology, 4(1), 1481–1488. https://doi.org/10.2147/OPTH.S14521

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