Rates of referable eye disease in the Scottish National Diabetic Retinopathy Screening Programme.
Br J Ophthalmol
; 98(6): 790-5, 2014 Jun.
Article
em En
| MEDLINE
| ID: mdl-24599419
ABSTRACT
AIMS:
Diabetic retinopathy screening aims to detect people at risk of visual loss due to proliferative diabetic retinopathy, but also refers cases of suspected macular oedema (maculopathy). At the introduction of screening, ophthalmology was concerned that referral rates would be unmanageable. We report yield of referable disease by referral reason for the first 5â years of the programme.METHODS:
We extracted screening results from a nationwide clinical diabetes database to calculate annual referral rates to ophthalmic clinics. We used logistic regression to examine associations between clinical measures and referable disease.RESULTS:
182â 397 people underwent ≥ 1successful retinal screening between 2006 and 2010. The yield of referable eye disease was highest in the first 2â years of screening (7.0% and 6.0%) before stabilising at â¼4.3%. The majority of referrals are due to maculopathy with 73% of referrals in 2010 based on a finding of maculopathy.CONCLUSIONS:
The commonest cause for referral is for suspected macular oedema (maculopathy). Referral rates for retinopathy have stabilised, as predicted, at relatively low rates. However, ophthalmology workload continues to rise as new treatment options (ie, monthly intraocular injections) have unexpectedly increased the impact on ophthalmology. A review of the screening referral path for maculopathy may be timely.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Encaminhamento e Consulta
/
Edema Macular
/
Retinopatia Diabética
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article