Screening diabetic retinopathy using a telediagnosis system. Results of the upper Rhine survey
Screening diabetic retinopathy using a telediagnosis system. Results of the upper Rhine survey
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DOI：
10.1016/j.jfo.2009.01.006
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发表时间：
2009-02-01
影响因子：
1.2
通讯作者：
Holl, P.
中科院分区：
文献类型：
--
作者：
Lenoble, P.;Kheliouen, M.;Holl, P.
介绍。-本研究的目的是介绍在莱茵河上游（法国）使用非散瞳眼底相机筛查糖尿病视网膜病变的结果。-筛选期为2004年9月至2007年12月。患者来到三个转诊医疗中心（Altkirch, Mulhouse, Thann），所有患者都在双眼上拍了三张眼底照片，没有瞳孔扩张。这些数据被存储在一个网站上。这些照片随后由来自米卢斯总医院眼科的专家小组进行分析。结果发送给全科医生和治疗指南。在筛选期结束时，通过问卷对该活动进行评估。-本研究共筛查1050例糖尿病患者：18%患有糖尿病视网膜病变；其中1.5%为增生性或严重非增生性糖尿病视网膜病变，74.2%为轻度非增生性糖尿病视网膜病变。糖化血红蛋白平均值为9.3%(+/- 2.55)，患者平均年龄为61.5（+/- 14.3）岁，筛查前平均糖尿病发病年龄为16.6（+/- 7.9）岁。筛查后，70%的患者咨询了眼科医生。90%的参诊医生收到了筛查结果。-在莱茵河上游开展的糖尿病视网膜病变筛查运动在公共卫生和预防糖尿病视网膜并发症方面发挥了真正的作用。(C) 2009 Elsevier Masson SAS。版权所有。
Introduction. - The aim of this study was to present the results of diabetic retinopathy screening using a nonmydriatic fundus camera in the upper Rhine (France).Method. - The screening period took place from September 2004 to December 2007. Patients came to three referring medical centers (Altkirch, Mulhouse, Thann) and all had three fundus photographs on both eyes without pupillary dilatation. The data were stored on a website. The photographs were then analyzed by the team of experts from the Department of Ophthalmology of the Mulhouse General Hospital. The results were sent to the general practitioner with treatment guidelines. The campaign was evaluated at the end of the screening period using a questionnaire.Results. - In this study, 1050 diabetics patients were screened: 18% had diabetic retinopathy; of these 1.5% had proliferative or serious nonproliferative diabetic retinopathies and 74.2% mild nonproliferative forms. The mean value of hemoglobin A1C was 9.3% (+/- 2.55), the patients' mean age of patients was 61.5 (+/- 14.3) years, and the mean onset of diabetes was 16.6 (+/- 7.9) years before screening. After screening, 70% of the patients consulted an ophthalmologist. Ninety percent of the referent practitioners received the results of the screening.Conclusion. - The diabetic retinopathy screening campaign in the upper Rhine provided a real benefit in terms of public health and prevention of diabetic retinal complications. (C) 2009 Elsevier Masson SAS. All rights reserved.