Kumar N, Goyder E, McKibbin M
St James's University Hospital, Leeds, UK.
Eye (Lond). 2006 Apr;20(4):455-9. doi: 10.1038/sj.eye.6701908.
A key aim of the photographic screening model for diabetic retinopathy advocated by the National Screening Committee is a reduction in new blindness due to diabetic retinopathy within 5 years. This study determines the incidence of visual impairment due to diabetic retinopathy in Leeds in 2002 and provides a benchmark against which the success of the retinopathy screening programme in Leeds will be judged.
A retrospective review of all blind and partially sighted registrations for 2002 was conducted. The 2001 Census data and the diabetes prevalence model developed by the Yorkshire and Humber Public Health Observatory were used to determine the total and diabetic populations of Leeds.
Diabetic retinopathy was the primary cause of registration in 24 of the 398 completed records obtained; seven patients were registered blind and 17 partially sighted. For the total population in 2002, the incidence of blind and partially sighted registration due to diabetic retinopathy was 10 per million and 24 per million per year, respectively. For the diabetic population of Leeds in 2002, the incidence of blind and partial sighted registration due to diabetic retinopathy was 337 and 817 per million per year, respectively.
The incidence of blind registration due to diabetic retinopathy in Leeds in 2002 is similar to the estimate provided by the National Screening Committee but higher than the figure from other UK centres.
国家筛查委员会倡导的糖尿病视网膜病变摄影筛查模型的一个关键目标是在5年内减少因糖尿病视网膜病变导致的新发失明。本研究确定了2002年利兹市因糖尿病视网膜病变导致视力损害的发生率,并提供了一个基准,据此评判利兹市视网膜病变筛查项目的成效。
对2002年所有失明和视力部分受损登记情况进行回顾性审查。利用2001年人口普查数据以及约克郡和亨伯公共卫生观察站开发的糖尿病患病率模型,确定利兹市的总人口和糖尿病患者人数。
在获取的398份完整记录中,有24份记录显示糖尿病视网膜病变是登记的主要原因;7名患者登记为失明,17名患者视力部分受损。对于2002年的总人口,因糖尿病视网膜病变导致失明和视力部分受损登记的发生率分别为每年百万分之10和百万分之24。对于2002年利兹市的糖尿病患者群体,因糖尿病视网膜病变导致失明和视力部分受损登记的发生率分别为每年百万分之337和百万分之817。
2002年利兹市因糖尿病视网膜病变导致失明登记的发生率与国家筛查委员会提供的估计值相似,但高于英国其他中心的数据。