[Screening for ophthalmic disease in the diabetic patient: eye fundus examination by non-mydriatic retinography with or without examination of visual acuity and intraocular pressure]. / Cribado de la enfermedad oftalmológica del paciente diabético: exploración del fondo de ojo con retinografía no midriática complementada o no con exploración de agudeza visual y presión intraocular.
Arch Soc Esp Oftalmol
; 88(7): 261-5, 2013 Jul.
Article
en Es
| MEDLINE
| ID: mdl-23768473
ABSTRACT
OBJECTIVE:
To screen for eye disease in diabetic patients by performing only an eye fundus examination with non-mydriatic retinography, or a more extensive ophthalmological examination including visual acuity (VA) and ocular tonometry.DESIGN:
A cross-sectional multicentre study with cohort comparison.SUBJECTS:
Diabetic patients who attended 6 Primary Health Care Centres (PCC).INTERVENTIONS:
complete ophthalmological examination of patients in 3 PCC VA examination, intraocular pressure (IOP) measurement and eye fundus examination with non-mydriatic retinography (egphNMC). Partial examination of patients of the other 3 PCC only an eye fundus examination with non-mydriatic retinography. Patients with a suspicion of eye disease were referred to the Ophthalmology Department.RESULTS:
A complete ophthalmological examination was carried out on 938 patients (71%) and a partial examination in 383 (29%). DIAGNOSIS a) suspicion of diabetic retinopathy (DR) 123 cases (9.3%), with no differences between the complete examination (9.1%) and partial examination (9.3%); b) suspicion of glaucoma 89 cases (8.1% in complete examination and 3.4% in partial (suspicion due to papillary alteration in egphNMC)); c) VA changes 169 cases (18%) in complete examination. Referral to ophthalmology service was made in 41% of patients with complete examination and 18% in patients with partial examination.CONCLUSIONS:
Using only back of the eye examination with a non-mydriatic camera, a high percentage of diabetic patients were not diagnosed with an eye disease distinct to diabetic retinopathy (VA and IOP alterations), which are probably associated to a higher percentage of cataracts and glaucoma in this group.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Tonometría Ocular
/
Agudeza Visual
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Retinopatía Diabética
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Fondo de Ojo
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Presión Intraocular
Tipo de estudio:
Clinical_trials
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Diagnostic_studies
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Observational_studies
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Prevalence_studies
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Risk_factors_studies
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Screening_studies
Límite:
Humans
Idioma:
Es
Revista:
Arch Soc Esp Oftalmol
Año:
2013
Tipo del documento:
Article
Pais de publicación:
ES
/
ESPANHA
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ESPAÑA
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SPAIN