scholarly journals Agreement on Grading Retinal Findings of Patients with Diabetes Using Fundus Photographs by Allied Medical Personnel when Compared to an Ophthalmologist at a Diabetic Retinopathy Screening Program in Nepal

2020 ◽  
Vol Volume 14 ◽  
pp. 2731-2737
Author(s):  
Raba Thapa ◽  
Sanyam Bajimaya ◽  
Eli Pradhan ◽  
Sanjita Sharma ◽  
Bal Bahadur Kshetri ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Screening Program ◽  
Medical Personnel ◽  
Diabetic Retinopathy Screening ◽  
Patients With Diabetes ◽  
Fundus Photographs ◽  
Retinopathy Screening

Cost-Effectiveness Analysis of Non-Mydriatic Ultrawide- Field Fundus Photography versus Pharmacological Pupil Dilatation in Diabetic Retinopathy Screening Program

2021 ◽  
Vol 104 (5) ◽  
pp. 818-824
Keyword(s):  
Diabetic Retinopathy ◽  
Cost Effectiveness ◽  
Screening Program ◽  
Cost Effective ◽  
Cost Effectiveness Analysis ◽  
Fundus Photography ◽  
Diabetic Retinopathy Screening ◽  
Effectiveness Analysis ◽  
The Cost ◽  
Retinopathy Screening

Background: Diabetic retinopathy (DR) causes blindness of the population in many countries worldwide. Early detection and treatment of this disease via a DR screening program is the best way to secure the vision. An annual screening program using pharmacological pupil dilatation becomes the standard method. Recently, non-mydriatic ultrawide-field fundus photography (UWF) has been proposed as a choice for DR screening. However, there was no cost-effectiveness study between the standard DR screening and this UWF approach. Objective: To compare the cost-effectiveness between UWF and pharmacological pupil dilatation in terms of hospital and societal perspectives. Materials and Methods: Patients with type 2 diabetes mellitus that visited the ophthalmology clinic at Chulabhorn Hospital for DR screening were randomized using simple randomization method. The patients were interviewed by a trained interviewer for general and economic information. The clinical characteristics of DR and staging were recorded. Direct medical costs, direct non-medical costs, and informal care costs due to DR screening were recorded. Cost analyses were calculated for the hospital and societal perspectives. Results: The present study presented the cost-effectiveness analyses of UWF versus pharmacological pupil dilatation. Cost-effectiveness analysis from the hospital perspective showed the incremental cost-effectiveness ratio (ICER) of UWF to be –13.87. UWF was a cost-effective mean in DR screening in the societal perspective when compared with pharmacologically pupil dilatation with the ICER of 76.46, under the threshold of willingness to pay. Conclusion: The UWF was a cost-effective mean in DR screening. It can reduce screening duration and bypass post-screening blurred vision. The results suggested that UWF could be a viable option for DR screening. Keywords: Diabetic retinopathy, Diabetic retinopathy screening, Non-mydriatic ultrawide-field fundus photography, Cost-effectiveness analysis

Cost-effectiveness of a National Telemedicine Diabetic Retinopathy Screening Program in Singapore

Ophthalmology ◽  
2016 ◽  
Vol 123 (12) ◽  
pp. 2571-2580 ◽  
Author(s):  
Hai V. Nguyen ◽  
Gavin Siew Wei Tan ◽  
Robyn Jennifer Tapp ◽  
Shweta Mital ◽  
Daniel Shu Wei Ting ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Cost Effectiveness ◽  
Screening Program ◽  
Diabetic Retinopathy Screening ◽  
Retinopathy Screening

scholarly journals Saving sight in China and beyond: the Lifeline Express model

2018 ◽  
Vol 3 (4) ◽  
pp. e000766 ◽  
Author(s):  
Ian Yat Hin Wong ◽  
Michael Yuxuan Ni ◽  
Irene Oi Ling Wong ◽  
Nellie Fong ◽  
Gabriel M Leung
Keyword(s):  
Diabetic Retinopathy ◽  
Cataract Surgery ◽  
Large Scale ◽  
Rural China ◽  
Adult Population ◽  
Early Screening ◽  
Diabetic Retinopathy Screening ◽  
Health Strategy ◽  
Patients With Diabetes ◽  
Retinopathy Screening

Cataract and diabetic retinopathy are leading causes of blindness globally. Lifeline Express (LEX) has pioneered the provision of cataract surgery in rural China from custom-built trains and eye centres nationwide. Over the past two decades, LEX has provided free cataract surgery for over 180 000 patients in China. In China, half of the adult population has prediabetes and 113 million adults have diabetes. Recognising the rising threat of diabetic retinopathy, LEX has expanded to providing free diabetic retinopathy screening nationwide by establishing 29 Diabetic Retinopathy Screening Centres across China. Source of referrals included host hospitals, the community and out-reach mobile vans equipped with fundus cameras. Fundi photos taken in the mobile vans were electronically transferred to primary graders. LEX also leveraged the widespread smartphone use to provide electronic medical reports via WeChat, the most popular instant messenger app in China. From April 2014 to December 2016, 34 506 patients with diabetes underwent screening, of which 27.2% (9,396) were identified to have diabetic retinopathy. China’s latest national health strategy (‘Healthy China 2030 Plan’) has championed the ‘prevention first’ principle and early screening of chronic diseases. LEX has accordingly evolved to extend its services to save sight in China—from cataract surgery to diabetic retinopathy screening and most recently outreaching beyond its national borders in a pilot South–South collaboration. With health at the top of the China’s developmental agenda and the country’s growing role in global health—LEX’s large-scale telemedicine-enabled programme could represent a potentially scalable model for nationwide diabetic retinopathy screening elsewhere.

scholarly journals Correction to: Fundamental principles of an effective diabetic retinopathy screening program

2020 ◽  
Vol 57 (7) ◽  
pp. 907-908
Author(s):  
Paolo Lanzetta ◽  
◽  
Valentina Sarao ◽  
Peter H. Scanlon ◽  
Jane Barratt ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Screening Program ◽  
Diabetic Retinopathy Screening ◽  
Retinopathy Screening

scholarly journals Cost of a Community-Based Diabetic Retinopathy Screening Program: Figure 1

Diabetes Care ◽  
2014 ◽  
Vol 37 (11) ◽  
pp. e236-e237 ◽  
Author(s):  
Margaret M. Byrne ◽  
Dorothy F. Parker ◽  
Stacey L. Tannenbaum ◽  
Manuel A. Ocasio ◽  
Byron L. Lam ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Screening Program ◽  
Community Based ◽  
Diabetic Retinopathy Screening ◽  
Retinopathy Screening

Look beyond the retinopathy: The incidental finding of a brain tumour

2020 ◽  
pp. 1357633X2095512
Author(s):  
Caroline Vloka ◽  
Evan Waxman
Keyword(s):  
Diabetic Retinopathy ◽  
Optic Nerve ◽  
Optic Nerve Head ◽  
Incidental Findings ◽  
Incidental Finding ◽  
Diabetic Retinopathy Screening ◽  
Added Benefit ◽  
Fundus Photographs ◽  
Large Vestibular Schwannoma ◽  
Retinopathy Screening

We report the case of a 33-year-old woman who was found to have optic-nerve head swelling on fundus photographs obtained for telemedicine diabetic retinopathy screening. The patient was found to have a large vestibular schwannoma on brain imaging. This case shows the added benefit of implementing timely changes in management in response to significant incidental findings on tele-ophthalmology diabetic retinopathy screening, which can lead to potentially life- and vision-saving interventions.

Detection of Glaucoma and Its Association With Diabetic Retinopathy in a Diabetic Retinopathy Screening Program

2016 ◽  
Vol 25 (1) ◽  
pp. 101-105 ◽  
Author(s):  
Rita A. Gangwani ◽  
Sarah M. McGhee ◽  
Jimmy S.M. Lai ◽  
Christina K.W. Chan ◽  
David Wong
Keyword(s):  
Diabetic Retinopathy ◽  
Screening Program ◽  
Diabetic Retinopathy Screening ◽  
Retinopathy Screening
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