首页> 外文期刊>Annals of Saudi medicine. >Non-mydriatic fundus camera screening with diagnosis by telemedicine for diabetic retinopathy patients with type 1 and type 2 diabetes: a hospital-based cross-sectional study
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Non-mydriatic fundus camera screening with diagnosis by telemedicine for diabetic retinopathy patients with type 1 and type 2 diabetes: a hospital-based cross-sectional study

机译:非剖列性眼底相机筛查诊断到1型和2型糖尿病患者的糖尿病视网膜病变患者:基于医院的横截面研究

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Diabetic retinopathy (DR) is considered the fifth leading cause of visual impairment worldwide and is associated with a huge social and economic burden. Describe the practicality of non-mydriatic funduscopic screening photography for the detection of DR among patients with type 1 and type 2 diabetes. Cross-sectional hospital-based study. Diabetes center, Riyadh. Between July and December 2017, patients with diabetes and aged ≥18 years were selected by systematic random sampling from the University Diabetes Center. Fundoscopic eye examination was performed using the TRC-NW8 non-mydriatic camera, which performs ocular coherence tomography (OCT) to detect macular edema. Using telemedicine, pictures were graded by a retinal-specialized ophthalmologist using the international clinical DR disease severity scale. Patients were classified according to the type and severity of DR. Detection and classification of DR. 978 Saudi patients with diabetes. Of 426 (43.5%) patients with DR, 370 had nonproliferative DR and 55 had proliferative DR. Nineteen (1.9%) had macular edema. The most important risk factors for DR were longer diabetes duration and poor glycemic control. Both older age and insulin use contributed to the higher prevalence of DR and macular edema. DR was more common among type 1 patients at 55.4% compared with 49% among type 2 patients. In addition, more females had macular edema (57.1% versus 42.9% among males). Nine patients with macular edema (47.3%) had hypertension while 154 of 426 patients with DR (36.2%) had hypertension. Non-mydriatic funduscopic screening photography was practical and useful for the detection of DR in patients with type 1 and type 2 diabetes. Conducted in a single center. None.
机译:糖尿病视网膜病变(DR)被认为是全世界视觉障碍的第五个主要原因,与巨大的社会和经济负担有关。描述非剖析性眼底筛选摄影的实用性,用于检测1型型患者患者和2型糖尿病。基于横断面医院的研究。糖尿病中心,利雅得。 2017年7月至12月期间,通过大学糖尿病中心的系统随机抽样选择糖尿病和≥18岁的患者。使用TRC-NW8非散瞳摄像头进行基础眼镜检查,该摄像机进行眼睛相干断层扫描(OCT)以检测黄斑水肿。使用远程医疗,图片被视网膜专用眼科医生评分,使用国际临床博士疾病严重程度等级。根据博士的类型和严重程度进行分类。 DR的检测和分类。 978沙特患者糖尿病患者。 426例(43.5%)患者博士,370患者具有非增殖博士和55例具有增殖性博士。十九(1.9%)有黄斑水肿。博士最重要的风险因素是糖尿病持续时间较长,血糖控制差。较老年人和胰岛素的使用均导致博士和黄斑水肿的患病率较高。博士在1型患者中更常见,55.4%,而2款患者中的49%。此外,更多的女性具有黄斑水肿(57.1%,在男性中为42.9%)。黄斑水肿患者(47.3%)具有高血压,而154名426名博士患者(36.2%)具有高血压。非剖列性眼底筛选摄影是实用的,可用于检测1型型患者的DR和2型糖尿病。在一个中心进行。没有任何。

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