Screening for sight-threatening diabetic retinopathy: An update

Egyptian Retina Journal Pub Date : 2014-01-01 DOI:10.4103/2347-5617.152479

P. Scanlon, M. Dirani, P. van Wijngaarden

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引用次数: 5

Abstract

Aims: To review the literature on Screening for Diabetic Retinopathy. Materials and Methods: A comprehensive review of the English language literature, published from March 1980 to June 2014 using key words in Zetoc. Results: Several methods were found to achieve adequate sensitivities and specificities for diabetic retinopathy screening. Studies were compared with respect to (a) Classifications used to grade diabetic retinopathy (b) The evidence for population-based screening for diabetic retinopathy (c) Alternatives to digital photography for screening (d) Reference standards used to study the effectiveness of screening methods (e) The evidence for mydriatic versus non-mydriatic digital photography, or a combination of the two (f) The number of photographic fields captured (g) Measurement of distance visual acuity (h) Cost-effectiveness of screening for diabetic retinopathy (i) Future developments in screening for diabetic retinopathy Conclusion: Based on an assessment of available studies, the most effective DR screening strategy is the use of mydriatic or staged mydriasis with digital retinal photography. Variables between different screening strategies include whether Visual Acuity is measured and the number of fields captured.

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筛查威胁视力的糖尿病视网膜病变:最新进展

目的:回顾有关糖尿病视网膜病变筛查的文献。材料与方法:对1980年3月至2014年6月期间发表的英文文献进行综合检索，检索关键词为Zetoc。结果:几种方法对糖尿病视网膜病变筛查具有足够的敏感性和特异性。针对以下方面的研究进行了比较:(a)用于糖尿病视网膜病变分级的分类(b)基于人群的糖尿病视网膜病变筛查的证据(c)用于筛查的数字摄影替代方案(d)用于研究筛查方法有效性的参考标准(e)有血管与无血管的数字摄影的证据。或两者的结合(f)拍摄的摄影视野的数量(g)距离视力的测量(h)糖尿病视网膜病变筛查的成本效益(i)糖尿病视网膜病变筛查的未来发展结论:基于对现有研究的评估，最有效的DR筛查策略是使用散瞳或分阶段散瞳与数字视网膜摄影。不同筛选策略之间的变量包括是否测量视敏度和捕获的视场数量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Egyptian Retina Journal

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