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Non-stereo fundus p...
Non-stereo fundus photography as a screening procedure for diabetic retinopathy among patients with type II diabetes. Compared with 60D enhanced slit-lamp examination.
- Artikel/kapitelEngelska1989
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LIBRIS-ID:oai:gup.ub.gu.se/292821
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https://gup.ub.gu.se/publication/292821URI
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https://doi.org/10.1111/j.1755-3768.1989.tb04106.xDOI
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Ämneskategori:art swepub-publicationtype
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The spectrum of diabetic retinopathy, the need for fundus screening and the evaluation of two presumptive screening methods, was investigated in a population based study among patients with type II diabetes. Retinal evaluation was performed in 86.9% of the known diabetic population. Background diabetic retinopathy was detected in 37.8%, pre-proliferative in 1.1% and proliferative retinopathy in 3.8%. Diabetic maculopathy was found in 24.3% of the patients. Laser therapy was considered in 11.4% of the patients due to diabetic retinopathy, and in 14.6% when venous occlusive diseases were included. Two methods, a slit-lamp observation enhanced by a 60D lens and reading from two non-stereo photographs of the posterior pole, were evaluated among 154 patients willing and mentally capable of being examined by either method. The sensitivity of the photographic method was 87/97% (right eye/left eye) when detecting background retinopathy and 81/80% for maculopathy versus 69/61% and 79/63%, respectively, with the slit-lamp method. The photographic method could be applied in 93% of the patients mentally capable of cooperation. Only 5 or 6 patients could be examined per hour with the 60D slit-lamp compared with 30-35 examined by reading retinal photographs. The photographic method is recommended as an easy and reliable screening device for diabetic retinopathy among patients with type II diabetes.
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Eggertsen, Robert,1948Gothenburg University,Göteborgs universitet,Medicinska institutionen,Department medicine(Swepub:gu)xeggro
(författare)
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Blohmé, Göran,1938Gothenburg University,Göteborgs universitet,Medicinska institutionen,Department medicine
(författare)
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Göteborgs universitetMedicinska institutionen
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Acta ophthalmologica: Wiley67:5, s. 546-530001-639X1755-375X
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