Screening for diabetic retinopathy in France

Diabetes & Metabolism
N DebP Gain

Abstract

Ocular complications of diabetes, particularly retinopathy, are the major cause of blindness in the working age population in industrialised nations. Laser photocoagulation has shown definite results in reducing visual morbidity with many more likely to benefit if diagnosed early enough. Institution of an efficient screening programme aimed at detecting patients at risk when they can still be effectively treated has been recognised as an urgent priority worldwide. In France, a signatory to the Saint Vincent's Declaration, an analysis of the national healthcare database reveals a gross inadequacy in the current extent of screening for diabetic retinopathy. The possible causative factors have been analysed and the necessary corrective measures, some of which are already under way, have been discussed. Ideally, screening by ophthalmologists at recommended intervals have been advised by national and professional health care associations. This has not been feasible owing to the lack of organised planning and serious manpower deficit caused by a progressive decline in the number of ophthalmologists. Recently, the need for an efficient, widely-available and user-friendly screening tool has led to the evaluation of multifield fundus ph...Continue Reading

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Citations

Feb 22, 2014·Globalization and Health·Karine ChevreulClara Bouché
Nov 26, 2010·Archivos de la Sociedad Española de Oftalmología·P Romero-ArocaD A Ramos Domínguez
Feb 2, 2010·Diabetes & Metabolism·C Creuzot-GarcherA Bron
Mar 2, 2010·Diabetes Research and Clinical Practice·Pedro RomeroMarc Baget
Jul 18, 2008·Primary Care Diabetes·A RubinoA Girach
Feb 1, 2007·Diabetic Medicine : a Journal of the British Diabetic Association·N Deb-JoardarB Estour
Aug 27, 2005·Diabetes Care·Nilanjana Deb-JoardarPhilippe Gain
Nov 12, 2018·Ophthalmology and Therapy·Beau J FennerGemmy C M Cheung

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