scholarly journals Diabetic Retinopathy Screening Using Telemedicine Tools: Pilot Study in Hungary

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Dóra J. Eszes ◽  
Dóra J. Szabó ◽  
Greg Russell ◽  
Phil Kirby ◽  
Edit Paulik ◽  
...  

Introduction.Diabetic retinopathy (DR) is a sight-threatening complication of diabetes. Telemedicine tools can prevent blindness. We aimed to investigate the patients’ satisfaction when using such tools (fundus camera examination) and the effect of demographic and socioeconomic factors on participation in screening.Methods.Pilot study involving fundus camera screening and self-administered questionnaire on participants’ experience during fundus examination (comfort, reliability, and future interest in participation), as well as demographic and socioeconomic factors was performed on 89 patients with known diabetes in Csongrád County, a southeastern region of Hungary.Results.Thirty percent of the patients had never participated in any ophthalmological screening, while 25.7% had DR of some grade based upon a standard fundus camera examination and UK-based DR grading protocol (Spectra™ software). Large majority of the patients were satisfied with the screening and found it reliable and acceptable to undertake examination under pupil dilation; 67.3% were willing to undergo nonmydriatic fundus camera examination again. There was a statistically significant relationship between economic activity, education and marital status, and future interest in participation.Discussion.Participants found digital retinal screening to be reliable and satisfactory. Telemedicine can be a strong tool, supporting eye care professionals and allowing for faster and more comfortable DR screening.

2021 ◽  
Vol 10 (11) ◽  
pp. 2352
Author(s):  
Andrzej Grzybowski ◽  
Piotr Brona

Background: The prevalence of diabetic retinopathy (DR) is expected to increase. This will put an increasing strain on health care resources. Recently, artificial intelligence-based, autonomous DR screening systems have been developed. A direct comparison between different systems is often difficult and only two such comparisons have been published so far. As different screening solutions are now available commercially, with more in the pipeline, choosing a system is not a simple matter. Based on the images gathered in a local DR screening program we performed a retrospective comparison of IDx-DR and Retinalyze. Methods: We chose a non-representative sample of all referable DR positive screening subjects (n = 60) and a random selection of DR negative patient images (n = 110). Only subjects with four good quality, 45-degree field of view images, a macula-centered and disc-centered image from both eyes were chosen for comparison. The images were captured by a Topcon NW-400 fundus camera, without mydriasis. The images were previously graded by a single ophthalmologist. For the purpose of this comparison, we assumed two screening strategies for Retinalyze—where either one or two out of the four images needed to be marked positive by the system for an overall positive result at the patient level. Results: Percentage agreement with a single reader in DR positive and DR negative cases respectively was: 93.3%, 95.5% for IDx-DR; 89.7% and 71.8% for Retinalyze strategy 1; 74.1% and 93.6% for Retinalyze under strategy 2. Conclusions: Both systems were able to analyse the vast majority of images. Both systems were easy to set up and use. There were several limitations to the current pilot study, concerning sample choice and the reference grading that need to be addressed before attempting a more robust future study.


2017 ◽  
Vol Volume 11 ◽  
pp. 1477-1482 ◽  
Author(s):  
Nazimul Hussain ◽  
Maryam Edraki ◽  
Rima Tahhan ◽  
Nishanth Sanalkumar ◽  
Sami Kenz ◽  
...  

Diabetes Care ◽  
2011 ◽  
Vol 34 (3) ◽  
pp. 580-585 ◽  
Author(s):  
N. Germain ◽  
B. Galusca ◽  
N. Deb-Joardar ◽  
L. Millot ◽  
P. Manoli ◽  
...  

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