PMID: 12766118May 27, 2003Paper

Developing a screening program to detect sight-threatening diabetic retinopathy in South India

Diabetes Care
P NamperumalsamyKim Ramasamy

Abstract

To develop a screening protocol for detection of sight-threatening diabetic retinopathy in south India. We performed ophthalmic examinations, including posterior segment examination, using indirect ophthalmoscopy to detect sight-threatening retinopathy in patients with diabetes in screening camps targeting a high-risk population. We examined 3,949 persons with diabetes in 32 screening camps over a 13-month period beginning July 2001. Most of the patients (93.6%) were aware of their diabetic status, and 84.2% of those aware of their diabetes status were on treatment. One-fifth of those screened had evidence for any retinopathy; only 6.1% of these persons had evidence of past ophthalmic treatment for retinopathy. Only one-quarter of those diagnosed with worse than mild retinopathy came for follow-up to the base hospital within 2 months. Screening high-risk groups for sight-threatening retinopathy using indirect ophthalmoscopy may be a useful short-term alternative for India until retinal photography becomes affordable. In addition to strategies to improve coverage, strategies for better follow-up of subjects screened also need to be evolved.

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Citations

May 10, 2013·Current Diabetes Reports·Kim RamasamyManish Tandon
Oct 20, 2007·The British Journal of Ophthalmology·Padmaja Kumari RaniTarun Sharma
Dec 6, 2012·Ophthalmology·Sudhir RachapelleSarah Polack
Mar 10, 2016·Indian Journal of Ophthalmology·Rajiv RamanTarun Sharma
Aug 27, 2014·Ophthalmic Epidemiology·Erika M DamatoCharles N J McGhee
Feb 8, 2011·Diabetes Research and Clinical Practice·Rajiv RamanTarun Sharma
Sep 25, 2015·PloS One·Ramachandran RajalakshmiViswanathan Mohan
Feb 26, 2015·Journal of Telemedicine and Telecare·Dorottya SzabóJános Németh
May 30, 2019·Tropical Medicine and Health·Mapa Mudiyanselage Prabhath Nishantha PiyasenaMaria Zuurmond
Mar 19, 2016·Clinical & Experimental Ophthalmology·Stephanie LinCharumathi Sabanayagam
Aug 9, 2020·Clinical Ophthalmology·Arjun ShresthaTakeshi Naito
Feb 13, 2018·Tropical Medicine & International Health : TM & IH·Meenakshi WadhwaniVivek Gupta
Apr 24, 2020·Eye and Vision·Yan TongYin Shen
Jan 1, 2021·Journal of Diabetes Research·Jirawut LimwattanayingyongPaisan Ruamviboonsuk
Oct 29, 2021·Indian Journal of Ophthalmology·Ramachandran RajalakshmiViswanathan Mohan
Oct 29, 2021·Indian Journal of Ophthalmology·Jacquelyn N HamatiPadmaja K Rani

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