Prevalencia de retinopat赤a diab谷tica mediante cribado con retin車grafo no midri芍tico

作者:Gibelalde; A; Ruiz Miguel; M; Mendicute; J; Ayerdi; S; Martinez Zabalegi; D
来源:Anales del Sistema Sanitario de Navarra, 2010.
DOI:10.4321/S1137-66272010000400003

摘要

objectives: to establish the prevalence of diabetic retinopathy (rd) diagnosed after non-mydriatic retinography and to evaluate its utility as a screening test in the area of san sebasti芍n. methods: a prospective study including 2,444 diabetic patients sent by their primary attention doctors and/or their endocrinologists. all patients underwent non-mydriatic retinography in the central 45 degrees; visual acuity was explored, as well as iop through non-contact tonometry. the retinographies and information obtained were sent to our hospital and were revised by an ophthalmologist from the retina department. results: fifteen point zero two (15.02%) of the patients suffered from diabetes and were under dietary treatment, 62.55% suffered from non-insulin-dependant diabetes, and 22.43% suffered from insulin-dependant diabetes. the prevalence of diabetic retinopathy was 9.36%; 5.27% mild non-proliferative diabetic retinopathy (dr); 2.21% moderate-non-proliferative dr; 1.67 % severe non-proliferative dr; and 0.05% proliferative-diabetic retinopathy. eight point two two (8.22%) of the sample studied was diagnosed with ocular hypertension. conclusions: we observed a low prevalence of dr in our sample. use of non-mydriatic retinopathy in telemedicine plays an important role in the early diagnosis of diabetic retinopathy and it can be applied to other ophthalmic diseases.

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