Resumen

MARTINEZ RUBIO, M.; MOYA MOYA, M.; BELLOT BERNABE, A.  y  BELMONTE MARTINEZ, J.. Diabetic retinopathy screening and teleophthalmology. Arch Soc Esp Oftalmol [online]. 2012, vol.87, n.12, pp.392-395. ISSN 0365-6691.  https://dx.doi.org/10.1016/j.oftal.2012.04.004.

Objective: To determine the prevalence of diabetic retinopathy (DR) and evaluate our experience in DR screening in a study carried out between the Ophthalmology Department of the University General Hospital of Alicante and Department 19 Primary Care of Alicante by using a non-retinal mydriatic camera and telemedicine. Material and methods: A descriptive, cross-sectional study was conducted on 2,435 diabetic patients from 1 February 2006 to 1 February 2009. Three 45^o retinographies of both eyes of each patient were obtained and sent to the Department of Ophthalmology via the hospital intranet. These were then evaluated by 2 ophthalmologists, experts in the retina, with each issuing an individualized report for each patient. Results: The prevalence of DR was 17.90%, with 80.73% of them having mild-moderate proliferative DR, 12.16% severe non-proliferative DR, 2.29% proliferative DR, and 4.82% with diabetic maculopathy associated with any level of retinopathy. The retinographies were considered low quality in 41 patients (1.69%). Conclusions: We highlight the benefits of the tele-ophthalmology in screening diabetic patients to enable early diagnosis and treatment, and improving the circuit of communication between primary and specialist care.

Palabras clave : Diabetic retinopathy; Teleophthalmology; Telemedicine; Diabetic screening; Non-mydriatic fundus camera.

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