Resumo

VLEMING, E.N.; CASTRO, M.; LOPEZ-MOLINA, M.I.  e  TEUS, M.A.. Use of non-mydriatic retinography to determine the prevalence of diabetic retinopathy in diabetic patients. Arch Soc Esp Oftalmol [online]. 2009, vol.84, n.5, pp.231-236. ISSN 0365-6691.

Objectives: To establish the prevalence and severity of diabetic retinopathy (DR) in a sample of patients from «Health Area 3» in the Community of Madrid using non-mydriatic retinography and telemedicine. Methods: All patients who had their ocular fundus examined due to one of the following conditions were included in the sample: type 1 diabetes (DM1), type 2 non- insulin-dependant diabetes (DM2NID), and type 2 insulin-dependant diabetes (DM2ID). In all cases, 3-field retinographies were taken of both eyes to be evaluated for the presence of DR, and its severity, by an ophthalmologist at the hospital. Results: No DR was observed in 79% of the patients examined, 9% had a mild non-proliferative DR, 9% had a moderate non-proliferative DR, and 1% had a severe non-proliferative DR. The estimated prevalence of DR in «Health Area 3» of the Community of Madrid was thus 21%. In 12% of the examinations the retinographies were considered «low quality», thus requiring a second evaluation at hospital. Conclusions: The use of non-mydriatic retinography and telemedicine is an adequate method for the screening of DR among the diabetic population.

Palavras-chave : Diabetic retinopathy; diabetes mellitus; non-mydriatic camera; population study; neovascularization.

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