Biennial eye screening in patients with diabetes without retinopathy: 10-year experience

2.50
Hdl Handle:
http://hdl.handle.net/2336/18287
Title:
Biennial eye screening in patients with diabetes without retinopathy: 10-year experience
Authors:
Olafsdottir, E; Stefánsson, E
Citation:
Br J Ophthalmol. 2007, 91(12):1599-601
Issue Date:
1-Dec-2007
Abstract:
AIMS: To evaluate the safety of every-other-year eye screening for patients with diabetes without retinopathy. METHODS: Since 1994, patients with diabetes without retinopathy in Iceland have received eye screening every other year. 296 patients with diabetes who had no diabetic retinopathy in 1994/95 were followed with biennial eye examinations until they had developed retinopathy. The 10-year experience of this approach is reviewed. RESULTS: Out of the 296 diabetic individuals, 172 did not develop diabetic retinopathy during the 10-year observation period. 96 patients developed mild non-proliferative retinopathy, six developed clinically significant diabetic macular oedema, 23 developed preproliferative retinopathy, and four developed proliferative diabetic retinopathy during the 10-year observation period. All the patients who developed macular oedema or proliferative retinopathy had already been diagnosed as having mild nonproliferative retinopathy and entered an annual screening protocol before the sight-threatening retinopathy developed. No patient had any undue delay in treatment. CONCLUSION: Every other year screening for diabetic eye disease seems to be safe and effective in diabetics without retinopathy. Such an approach will reduce the number of screening visits more than 25%. This reduces health costs and strain on resources considerably and relieves the patients with diabetes from unnecessary clinic visits and examinations.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://bjo.bmj.com/cgi/content/abstract/91/12/1599

Full metadata record

DC FieldValue Language
dc.contributor.authorOlafsdottir, E-
dc.contributor.authorStefánsson, E-
dc.date.accessioned2008-02-14T13:18:55Z-
dc.date.available2008-02-14T13:18:55Z-
dc.date.issued2007-12-01-
dc.date.submitted2008-02-14-
dc.identifier.citationBr J Ophthalmol. 2007, 91(12):1599-601en
dc.identifier.issn0007-1161-
dc.identifier.pmid17627978-
dc.identifier.doi10.1136/bjo.2007.123810-
dc.identifier.urihttp://hdl.handle.net/2336/18287-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractAIMS: To evaluate the safety of every-other-year eye screening for patients with diabetes without retinopathy. METHODS: Since 1994, patients with diabetes without retinopathy in Iceland have received eye screening every other year. 296 patients with diabetes who had no diabetic retinopathy in 1994/95 were followed with biennial eye examinations until they had developed retinopathy. The 10-year experience of this approach is reviewed. RESULTS: Out of the 296 diabetic individuals, 172 did not develop diabetic retinopathy during the 10-year observation period. 96 patients developed mild non-proliferative retinopathy, six developed clinically significant diabetic macular oedema, 23 developed preproliferative retinopathy, and four developed proliferative diabetic retinopathy during the 10-year observation period. All the patients who developed macular oedema or proliferative retinopathy had already been diagnosed as having mild nonproliferative retinopathy and entered an annual screening protocol before the sight-threatening retinopathy developed. No patient had any undue delay in treatment. CONCLUSION: Every other year screening for diabetic eye disease seems to be safe and effective in diabetics without retinopathy. Such an approach will reduce the number of screening visits more than 25%. This reduces health costs and strain on resources considerably and relieves the patients with diabetes from unnecessary clinic visits and examinations.en
dc.language.isoenen
dc.publisherBritish Medical Associationen
dc.relation.urlhttp://bjo.bmj.com/cgi/content/abstract/91/12/1599en
dc.subject.meshAdolescenten
dc.subject.meshAdulten
dc.subject.meshAgeden
dc.subject.meshAged, 80 and overen
dc.subject.meshCost Controlen
dc.subject.meshDiabetes Mellitus, Type 1en
dc.subject.meshDiabetes Mellitus, Type 2en
dc.subject.meshDiabetic Retinopathyen
dc.subject.meshFemaleen
dc.subject.meshHealth Care Costsen
dc.subject.meshHumansen
dc.subject.meshIncidenceen
dc.subject.meshMacular Edemaen
dc.subject.meshMaleen
dc.subject.meshMass Screeningen
dc.subject.meshMiddle Ageden
dc.subject.meshTime Factorsen
dc.subject.meshVisual Acuityen
dc.titleBiennial eye screening in patients with diabetes without retinopathy: 10-year experienceen
dc.typeArticleen
dc.identifier.eissn1468-2079-
dc.contributor.departmentUniversity of Iceland, University Hospital Landspitali, 101 Reykjavik, Iceland.en
dc.identifier.journalBritish journal of ophthalmologyen

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