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Early detection of diabetic retinopathy by mobile retinal photography service working in partnership with primary health care teams
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
1998 (English)In: Diabetic Medicine, ISSN 0742-3071, E-ISSN 1464-5491, Vol. 15, no S3, S32-S37 p.Article in journal (Refereed) Published
Abstract [en]

Community-wide fundus photography was organized for early detection of diabetic retinopathy (DR) by mobile teams. High-quality three-field Kodachrome fundus photography, performed according to the London Protocol through dilated pupils was offered free of charge to primary care; images were taken in the community and assessed centrally. Data are presented from the first 80 primary health care centres (PHCCs) participating, serving 990 000 (about 60 %) of inhabitants in Stockholm County. Beginning in 1990, 6863 diabetes patients were invited by PHCCs; 5490 (80 %) attended. We reached 77 % of persons with known diabetes; only 37 % had had their eyes examined during the preceding 2 years. For 97 % of patients, images were assessable. DR was present in 34 % of patients (non-proliferative DR not requiring further assessment 29 %, non-proliferative DR requiring further assessment 1.1 %, proliferative DR 0.5 % and macular involvement 3.6 %). Re-examination after 2 years was offered to 64 %; follow-up photography after 1 year to 24 %. Fluorescein angiography and/or photocoagulation treatment was performed in 3.6 %. This method of early diagnosis is feasible, acceptable, and reached twice as many patients as did the usual referral-based system of care. We now plan to extend this service to cover the whole county.

Place, publisher, year, edition, pages
1998. Vol. 15, no S3, S32-S37 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-54078DOI: 10.1002/(SICI)1096-9136(1998110)15:3+<S32::AID-DIA728>3.0.CO;2-DOAI: oai:DiVA.org:uu-54078DiVA: diva2:81987
Available from: 2008-10-17 Created: 2008-10-17 Last updated: 2010-06-16Bibliographically approved

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