Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016:2016:4101890.
doi: 10.1155/2016/4101890. Epub 2016 Jan 21.

Diabetic Retinopathy Screening Ratio Is Improved When Using a Digital, Nonmydriatic Fundus Camera Onsite in a Diabetes Outpatient Clinic

Pia Roser  1 , Hannes Kalscheuer  2 , Jan B Groener  2 , Daniel Lehnhoff  2 , Roman Klein  2 , Gerd U Auffarth  3 , Peter P Nawroth  2 , Florian Schuett  3 , Gottfried Rudofsky  4
Affiliations

Diabetic Retinopathy Screening Ratio Is Improved When Using a Digital, Nonmydriatic Fundus Camera Onsite in a Diabetes Outpatient Clinic

Pia Roser et al. J Diabetes Res. 2016.

Abstract

Objective: To evaluate the effect of onsite screening with a nonmydriatic, digital fundus camera for diabetic retinopathy (DR) at a diabetes outpatient clinic.

Research design and methods: This cross-sectional study included 502 patients, 112 with type 1 and 390 with type 2 diabetes. Patients attended screenings for microvascular complications, including diabetic nephropathy (DN), diabetic polyneuropathy (DP), and DR. Single-field retinal imaging with a digital, nonmydriatic fundus camera was used to assess DR. Prevalence and incidence of microvascular complications were analyzed and the ratio of newly diagnosed to preexisting complications for all entities was calculated in order to differentiate natural progress from missed DRs.

Results: For both types of diabetes, prevalence of DR was 25.0% (n = 126) and incidence 6.4% (n = 32) (T1DM versus T2DM: prevalence: 35.7% versus 22.1%, incidence 5.4% versus 6.7%). 25.4% of all DRs were newly diagnosed. Furthermore, the ratio of newly diagnosed to preexisting DR was higher than those for DN (p = 0.12) and DP (p = 0.03) representing at least 13 patients with missed DR.

Conclusions: The results indicate that implementing nonmydriatic, digital fundus imaging in a diabetes outpatient clinic can contribute to improved early diagnosis of diabetic retinopathy.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Four different pathologies which can be detected in nonmydriatic funduscopy. (a) Mild nonproliferative retinopathy with hypertensive fundus. (b) Moderate nonproliferative retinopathy. (c) Proliferative retinopathy after laser photocoagulation. (d) Hypertensive retinopathy grade I.
See this image and copyright information in PMC

References

    1. Zimmet P., Alberti K. G. M. M., Shaw J. Global and societal implications of the diabetes epidemic. Nature. 2001;414(6865):782–787. doi: 10.1038/414782a. - DOI - PubMed
    1. de Groot M., Anderson R., Freedland K. E., Clouse R. E., Lustman P. J. Association of depression and diabetes complications: a meta-analysis. Psychosomatic Medicine. 2001;63(4):619–630. doi: 10.1097/00006842-200107000-00015. - DOI - PubMed
    1. Coffey J. T., Brandle M., Zhou H., et al. Valuing health-related quality of life in diabetes. Diabetes Care. 2002;25(12):2238–2243. doi: 10.2337/diacare.25.12.2238. - DOI - PubMed
    1. Livingstone S. J., Levin D., Looker H. C., et al. Estimated life expectancy in a scottish cohort with type 1 diabetes, 2008–2010. The Journal of the American Medical Association. 2015;313(1):37–44. doi: 10.1001/jama.2014.16425. - DOI - PMC - PubMed
    1. Cogneau J., Balkau B., Weill A., Liard F., Simon D. Assessment of diabetes screening by general practitioners in France: the EPIDIA Study. Diabetic Medicine. 2006;23(7):803–807. doi: 10.1111/j.1464-5491.2006.01877.x. - DOI - PMC - PubMed

Publication types