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Nondiabetic retinal pathology - prevalence in diabetic retinopathy screening.
MedLine Citation:
PMID:  21743863     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE To determine the prevalence of photographic signs of nondiabetic retinal pathology in Australian general practice patients with diabetes. METHOD Three hundred and seven patients with diabetes underwent retinal photography at two general practices, one of which was an indigenous health centre. The images were assessed for signs of pathology by an ophthalmologist. RESULTS Signs of nondiabetic retinal pathology were detected in 31% of subjects with adequate photographs. Features suspicious of glaucoma were detected in 7.7% of subjects. Other abnormalities detected included signs of age related macular degeneration (1.9%), epiretinal membranes (2.4%), vascular pathology (9.6%), chorioretinal lesions (2.9%), and congenital disc anomalies (2.9%). Indigenous Australian patients were more likely to have signs of retinal pathology and glaucoma. CONCLUSION Signs of nondiabetic retinal pathology were frequently encountered. In high risk groups, general practice based diabetic retinopathy screening may reduce the incidence of preventable visual impairment, beyond the benefits of detection of diabetic retinopathy alone.
Authors:
Nathan Nielsen; Claire Jackson; Geoffrey Spurling; Peter Cranstoun
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian family physician     Volume:  40     ISSN:  0300-8495     ISO Abbreviation:  Aust Fam Physician     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0326701     Medline TA:  Aust Fam Physician     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  529-32     Citation Subset:  IM    
Affiliation:
MBBS(Hons), BAppSc(Hons), is Resident Medical Officer, Princess Alexandra Hospital, Brisbane, Queensland.
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