Charlot Anthony, Baudin Florian, Tessier Mélanie, Lebrize Sarah, Hurand Victoire, Megroian Déborah, Arnould Louis, Ben-Ghezala Inès, Bron Alain Marie, Gabrielle Pierre-Henry, Creuzot-Garcher Catherine
Ophthalmology Department, University Hospital, 14 Rue Paul Gaffarel, 21079 Dijon, France.
INSERM-Institut National de la Santé et de la Recherche Médicale, CIC 1432, Clinical Investigation Center, Clinical Epidemiology/Clinical Trials Unit, Burgundy University, 21000 Dijon, France.
J Clin Med. 2022 Feb 27;11(5):1318. doi: 10.3390/jcm11051318.
We analyzed the results of mobile screening for diabetic retinopathy (DR) using retinal photographs, comparing these results between rural and periurban areas, and before and after the first national COVID-19 pandemic lockdown. The Burgundy Union Régionale des Professionnels de Santé (URPS) has organized an annual DR screening since 2004. The examination, performed by an orthoptist, consisted of taking the patient's history, intraocular pressure measurement, and taking retinal photographs. After remote transmission, the examinations were interpreted by participating ophthalmologists at the Dijon University Hospital. In September 2016, the screening was open to periurban townships. In 11 years, 10,220 patients were screened: 1420 patients (13.9%) had DR of any type, with an average age of 68.5 (±11.3) years, and 59.2% were men. These patients had a statistically significantly higher glycated hemoglobin level (7.4% vs. 7.0%) and a longer duration of diabetes (13.8 vs. 9.3 years) than patients without DR. When comparing rural and periurban areas and periods before and after the beginning of the COVID-19 pandemic, we did not find any significant difference in the screening results. The results of this study are in line with the average findings of similar studies comparing screening strategies for DR. The early detection of DR can benefit from mobile telemedicine screening, identifying a considerable number of patients at an elevated risk, especially in rural areas where access to ophthalmological care is limited.
我们分析了使用视网膜照片进行糖尿病视网膜病变（DR）移动筛查的结果，比较了农村和城市周边地区以及全国首次新冠疫情封锁前后的这些结果。自2004年以来，勃艮第地区卫生专业人员联盟（URPS）组织了年度DR筛查。该检查由斜视矫正师进行，包括采集患者病史、测量眼压和拍摄视网膜照片。远程传输后，检查结果由第戎大学医院的参与眼科医生进行解读。2016年9月，筛查范围扩大到城市周边乡镇。在11年里，共筛查了10220名患者：1420名患者（13.9%）患有任何类型的DR，平均年龄为68.5（±11.3）岁，59.2%为男性。与没有DR的患者相比，这些患者的糖化血红蛋白水平在统计学上显著更高（7.4%对7.0%），糖尿病病程更长（13.8年对9.3年）。在比较农村和城市周边地区以及新冠疫情开始前后的时期时，我们没有发现筛查结果有任何显著差异。本研究结果与比较DR筛查策略的类似研究的平均结果一致。DR的早期检测可受益于移动远程医疗筛查，能识别出大量高危患者，尤其是在眼科护理获取有限的农村地区。
