Update on Screening for Sight-Threatening Diabetic Retinopathy
- PMID: 31132764
- PMCID: PMC6943807
- DOI: 10.1159/000499539
Update on Screening for Sight-Threatening Diabetic Retinopathy
Abstract
Purpose: The aim of this article was to describe recent advances in the use of new technology in diabetic retinopathy screening by looking at studies that assessed the effectiveness and cost-effectiveness of these technologies.
Methods: The author conducts an ongoing search for articles relating to screening or management of diabetic retinopathy utilising Zetoc with keywords and contents page lists from relevant journals.
Results: The areas discussed in this article are reference standards, alternatives to digital photography, area of retina covered by the screening method, size of the device and hand-held cameras, mydriasis versus non-mydriasis or a combination, measurement of distance visual acuity, grading of images, use of automated grading analysis and cost-effectiveness of the new technologies.
Conclusions: There have been many recent advances in technology that may be adopted in the future by screening programmes for sight-threatening diabetic retinopathy but each device will need to demonstrate effectiveness and cost-effectiveness before more widespread adoption.
Keywords: Imaging; Retinal screening; Retinopathy; Sight-threatening diabetic retinopathy; Visual loss.
© 2019 The Author(s)Published by S. Karger AG, Basel.
Conflict of interest statement
I have attended Advisory Boards for Pfizer, Allergan, Roche, Bayer and Boehringer.
My department has received Educational, Research and Audit Grants from Allergan, Pfizer, Novartis, Boehringer and Bayer in the last 10 years.
References
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- Wilson J, Jungner G. Public Health Papers 34. Public Health Papers. Geneva: WHO; 1968. The principles and practice of screening for disease.
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- Scanlon P. London: UCL; 2005. An evaluation of the effectiveness and cost-effectiveness of screening for diabetic retinopathy by digital imaging photography and technician ophthalmoscopy and the subsequent change in activity, workload and costs of new diabetic ophthalmology referrals.
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- IDF. International Diabetes Federation. IDF Diabetes Atlas Brussels, Belgium 2013 [16/04/2014]. 6th edition:[Available from: http://www.idf.org/diabetesatlas
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