Screening for diabetic retinopathy using a non-mydriatic retinal camera in rural Victoria

C. Alex Harper, Patricia M. Livingston, Carolyn Wood, Cara Jin, Sue J. Lee, Jill E. Keeffe, Cathy A. McCarty, Hugh R. Taylor

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

Purpose: To develop a screening programme for the early detection of diabetic retinopathy using non-mydriatic retinal photography. Methods: A community based screening service was offered to all people with known diabetes mellitus in selected townships in the LaTrobe and Goulburn Valleys in Victoria. At the local examination centre, basic sociodemographic information was collected as well as details of previous use of eye care services for the early detection of diabetic retinopathy. The examination included visual acuity (VA), glycosylated haemoglobin level and Polaroid photographs of each fundus using a Canon CR5-45NM non-mydriatic retinal camera (Canon, Tochigiken, Japan). Dilating drops were not used. Photographs were subsequently reviewed and letters were sent to all participants (with copies to their general practitioners) with recommendations for appropriate follow up. Results: A total of 1177 people with diabetes attended the screening service, which is estimated to be 40% of the total population with known diabetes in the study area. The mean age was 65 years (range 20-94 years); 559 (48%) people reported not having a dilated fundus examination within the past 2 years; 345 (29%) people had never had a dilated fundus examination. Of the 2354 eyes, 2126 (90%) of the photographs were gradable. A total of 704 people (60%) had normal VA and no evidence of diabetic retinopathy, 209 people (18%) had diabetic retinopathy, 101 people (9%) had evidence of other fundus pathology, 42 people (3%) had reduced acuity (<6/18) in one or both eyes (with no fundus pathology evident) and 121 people (10%) had ungradable photographs in one or both eyes. Conclusions: The present study demonstrates the usefulness of a screening programme with non-mydriatic retinal photography as an adjunct to current eye care services for the early detection of diabetic retinopathy.

Original languageEnglish (US)
Pages (from-to)117-121
Number of pages5
JournalAustralian and New Zealand journal of ophthalmology
Volume26
Issue number2
DOIs
StatePublished - May 1998

Keywords

  • Diabetic retinopathy
  • Non-mydriatic retinal camera
  • Public health
  • Screening

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    Harper, C. A., Livingston, P. M., Wood, C., Jin, C., Lee, S. J., Keeffe, J. E., McCarty, C. A., & Taylor, H. R. (1998). Screening for diabetic retinopathy using a non-mydriatic retinal camera in rural Victoria. Australian and New Zealand journal of ophthalmology, 26(2), 117-121. https://doi.org/10.1111/j.1442-9071.1998.tb01526.x