PMID: 8597737Mar 16, 1996Paper

Adding retinal photography to screening for diabetic retinopathy: a prospective study in primary care

BMJ : British Medical Journal
J P O'HareJ Griffiths

Abstract

To evaluate whether adding retinal photography improved community screening for diabetic retinopathy. Mobile screening unit at rural and urban general practices in south west England. 1010 diabetic patients from primary care. Prospective study; patients were examined by ophthalmoscopy by general practitioners or opticians without fundal photographs and again with photographs, and assessments were compared to those of an ophthalmologist. Whether fundal photography improved the sensitivity of detection of retinopathy and referrable diabetic retinopathy, and whether this sensitivity could be improved by including a review of the films by the specialist. Diabetic retinopathy was detected by the ophthalmologist in 205 patients (20.5%) and referrable retinopathy in 49 (4.9%). The sensitivity of the general practitioners and opticians for referrable retinopathy with ophthalmoscopy was 65%, and improved to 84% with retinal photographs. General practitioners' sensitivity in detecting background retinopathy improved with photographs from 22% to 65%; opticians' sensitivity in detecting background retinopathy improved from 43% to 71%. The sensitivity of detecting referrable retinopathy by general practitioners improved from 56% to 80% with...Continue Reading

References

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Citations

Oct 27, 2001·Diabetic Medicine : a Journal of the British Diabetic Association·J R EiserJ E Tooke
Sep 5, 2002·Diabetic Medicine : a Journal of the British Diabetic Association·S A HulmeP W Joyce
Oct 3, 2002·Diabetic Medicine : a Journal of the British Diabetic Association·G P LeeseA Ellingford
Jun 16, 2000·BMJ : British Medical Journal·M JamesS P Harding
Aug 8, 2013·BMC Ophthalmology·Zsolt TorokAdrienne Csutak
Jun 30, 2004·Diabetes & Metabolism·N DebP Gain
Feb 15, 2007·Diabetic Medicine : a Journal of the British Diabetic Association·J Lopez-BastidaP Serrano-Aguilar
Aug 17, 2006·Diabetic Medicine : a Journal of the British Diabetic Association·R PhiriH R Taylor
Oct 16, 1999·Primary Care·L BlondeR D Guthrie
Sep 6, 2000·Diabetic Medicine : a Journal of the British Diabetic Association·A HutchinsonA Booth
Jul 18, 2002·Diabetic Medicine : a Journal of the British Diabetic Association·N YounisJ P Vora
Jun 9, 2006·Diabetic Medicine : a Journal of the British Diabetic Association·C S ArunR Taylor
Aug 10, 2006·Japanese Journal of Ophthalmology·Apichart SingalavanijaViravud Kongbunkiat
May 10, 2006·Expert Review of Medical Devices·Stephen H Sinclair

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