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An optical practice based diabetic eye screening programme

W Gatling1, A J Howie, R D Hill

  • 1Department of Diabetes, Poole Hospital NHS Trust, Dorset, UK.

Diabetic Medicine : a Journal of the British Diabetic Association
|June 1, 1995
PubMed
Summary
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Diabetic retinopathy screening in optical practices successfully identifies patients needing follow-up care. This program helps prevent blindness by ensuring timely treatment for sight-threatening conditions.

Area of Science:

  • Ophthalmology
  • Public Health
  • Diabetology

Background:

  • Diabetic retinopathy is a leading cause of preventable blindness.
  • Timely screening and laser photocoagulation treatment are crucial for preserving vision in diabetic patients.
  • A structured screening program is necessary to detect sight-threatening retinopathy.

Purpose of the Study:

  • To establish and evaluate an optical practice-based diabetic eye screening program in Dorset.
  • To assess the program's effectiveness in identifying patients with diabetic retinopathy requiring further management.

Main Methods:

  • A network of 76 optical practices was established for diabetic eye screening.
  • Optometrists performed eye examinations, recording findings on coded forms.
  • Positive cases were referred to hospital diabetologists for recall and management.

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Main Results:

  • Over 3224 patients were screened in the first 6 months.
  • In the Poole area, 1922 patients were screened, with 129 (6.7%) recalled.
  • Referrals included 15 for sight-threatening retinopathy, 14 for significant background retinopathy, and 24 for annual rescreening.

Conclusions:

  • The optical practice-based diabetic eye screening program successfully screened a large patient cohort.
  • The program effectively identified individuals with diabetic retinopathy needing specialist referral or monitoring.
  • This model demonstrates a viable approach to community-based diabetic eye screening.