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Non-mydriatic fundus camera screening with diagnosis by telemedicine for diabetic retinopathy patients with type 1 and type 2 diabetes: a hospital-based cross-sectional study.
Ann Saudi Med. 2019 Sep-Oct; 39(5):328-336.AS

Abstract

BACKGROUND

Diabetic retinopathy (DR) is considered the fifth leading cause of visual impairment worldwide and is associated with a huge social and economic burden.

OBJECTIVE

Describe the practicality of non-mydriatic funduscopic screening photography for the detection of DR among patients with type 1 and type 2 diabetes.

DESIGN

Cross-sectional hospital-based study.

SETTING

Diabetes center, Riyadh.

PATIENTS AND METHODS

Between July and December 2017, patients with diabetes and aged ≥18 years were selected by systematic random sampling from the University Diabetes Center. Fundoscopic eye examination was performed using the TRC-NW8 non-mydriatic camera, which performs ocular coherence tomography (OCT) to detect macular edema. Using telemedicine, pictures were graded by a retinal-specialized ophthalmologist using the international clinical DR disease severity scale. Patients were classified according to the type and severity of DR.

MAIN OUTCOME MEASURES

Detection and classification of DR.

SAMPLE SIZE

978 Saudi patients with diabetes.

RESULTS

Of 426 (43.5%) patients with DR, 370 had nonproliferative DR and 55 had proliferative DR. Nineteen (1.9%) had macular edema. The most important risk factors for DR were longer diabetes duration and poor glycemic control. Both older age and insulin use contributed to the higher prevalence of DR and macular edema. DR was more common among type 1 patients at 55.4% compared with 49% among type 2 patients. In addition, more females had macular edema (57.1% versus 42.9% among males). Nine patients with macular edema (47.3%) had hypertension while 154 of 426 patients with DR (36.2%) had hypertension.

CONCLUSION

Non-mydriatic funduscopic screening photography was practical and useful for the detection of DR in patients with type 1 and type 2 diabetes.

LIMITATIONS

Conducted in a single center.

CONFLICT OF INTEREST

None.

Authors+Show Affiliations

From the College of Medicine, University Diabetes Center, King Saud University.From the Department of Ophthalmology, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.From the College of Medicine, King Saud University, Riyadh, Saudi Arabia.From the College of Medicine, King Saud University, Riyadh, Saudi Arabia.From the College of Medicine, King Saud University, Riyadh, Saudi Arabia.From the College of Medicine, King Saud University, Riyadh, Saudi Arabia.From the Research Department, King Saud University, Riyadh, Saudi Arabia.From the Registry Department, King Saud University, Riyadh, Saudi Arabia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31580703

Citation

Yaslam, Maram, et al. "Non-mydriatic Fundus Camera Screening With Diagnosis By Telemedicine for Diabetic Retinopathy Patients With Type 1 and Type 2 Diabetes: a Hospital-based Cross-sectional Study." Annals of Saudi Medicine, vol. 39, no. 5, 2019, pp. 328-336.
Yaslam M, Al Adel F, Al-Rubeaan K, et al. Non-mydriatic fundus camera screening with diagnosis by telemedicine for diabetic retinopathy patients with type 1 and type 2 diabetes: a hospital-based cross-sectional study. Ann Saudi Med. 2019;39(5):328-336.
Yaslam, M., Al Adel, F., Al-Rubeaan, K., AlSalem, R. K., Alageel, M. A., Alsalhi, A., AlNageeb, D., & Youssef, A. M. (2019). Non-mydriatic fundus camera screening with diagnosis by telemedicine for diabetic retinopathy patients with type 1 and type 2 diabetes: a hospital-based cross-sectional study. Annals of Saudi Medicine, 39(5), 328-336. https://doi.org/10.5144/0256-4947.2019.328
Yaslam M, et al. Non-mydriatic Fundus Camera Screening With Diagnosis By Telemedicine for Diabetic Retinopathy Patients With Type 1 and Type 2 Diabetes: a Hospital-based Cross-sectional Study. Ann Saudi Med. 2019 Sep-Oct;39(5):328-336. PubMed PMID: 31580703.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-mydriatic fundus camera screening with diagnosis by telemedicine for diabetic retinopathy patients with type 1 and type 2 diabetes: a hospital-based cross-sectional study. AU - Yaslam,Maram, AU - Al Adel,Fadwa, AU - Al-Rubeaan,Khalid, AU - AlSalem,Rakan K, AU - Alageel,Musab A, AU - Alsalhi,Abdaulaziz, AU - AlNageeb,Dehkra, AU - Youssef,Amira M, Y1 - 2019/10/03/ PY - 2019/10/4/entrez PY - 2019/10/4/pubmed PY - 2020/2/23/medline SP - 328 EP - 336 JF - Annals of Saudi medicine JO - Ann Saudi Med VL - 39 IS - 5 N2 - BACKGROUND: Diabetic retinopathy (DR) is considered the fifth leading cause of visual impairment worldwide and is associated with a huge social and economic burden. OBJECTIVE: Describe the practicality of non-mydriatic funduscopic screening photography for the detection of DR among patients with type 1 and type 2 diabetes. DESIGN: Cross-sectional hospital-based study. SETTING: Diabetes center, Riyadh. PATIENTS AND METHODS: Between July and December 2017, patients with diabetes and aged ≥18 years were selected by systematic random sampling from the University Diabetes Center. Fundoscopic eye examination was performed using the TRC-NW8 non-mydriatic camera, which performs ocular coherence tomography (OCT) to detect macular edema. Using telemedicine, pictures were graded by a retinal-specialized ophthalmologist using the international clinical DR disease severity scale. Patients were classified according to the type and severity of DR. MAIN OUTCOME MEASURES: Detection and classification of DR. SAMPLE SIZE: 978 Saudi patients with diabetes. RESULTS: Of 426 (43.5%) patients with DR, 370 had nonproliferative DR and 55 had proliferative DR. Nineteen (1.9%) had macular edema. The most important risk factors for DR were longer diabetes duration and poor glycemic control. Both older age and insulin use contributed to the higher prevalence of DR and macular edema. DR was more common among type 1 patients at 55.4% compared with 49% among type 2 patients. In addition, more females had macular edema (57.1% versus 42.9% among males). Nine patients with macular edema (47.3%) had hypertension while 154 of 426 patients with DR (36.2%) had hypertension. CONCLUSION: Non-mydriatic funduscopic screening photography was practical and useful for the detection of DR in patients with type 1 and type 2 diabetes. LIMITATIONS: Conducted in a single center. CONFLICT OF INTEREST: None. SN - 0975-4466 UR - https://www.unboundmedicine.com/medline/citation/31580703/Non_mydriatic_fundus_camera_screening_with_diagnosis_by_telemedicine_for_diabetic_retinopathy_patients_with_type_1_and_type_2_diabetes:_a_hospital_based_cross_sectional_study_ L2 - https://www.annsaudimed.net/doi/10.5144/0256-4947.2019.328?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -