Shirey Megan, Kwok Alexander, Jenkins Holly, Uwaydat Sami
University of Arkansas for Medical Sciences: Harvey and Bernice Jones Eye Institute, Little Rock, AR 72205, USA.
University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
Int J Telemed Appl. 2023 Mar 24;2023:3233803. doi: 10.1155/2023/3233803. eCollection 2023.
A significant proportion of diabetic patients in the United States do not present for annual dilated eye exams to monitor for signs of diabetic retinopathy (DR). The purpose of this study was to analyze the results of a statewide, multiclinic teleretina program designed to screen rural Arkansans for this sight-debilitating disease.
Patients with diabetes seen at 10 primary care clinics across Arkansas were offered teleretinal-imaging services. Images were transmitted to the University of Arkansas for Medical Sciences' (UAMS) Harvey and Bernice Jones Eye Institute (JEI) for grading and recommendations for further treatment.
From February 2019 to May 2022, 668 patients underwent imaging; 645 images were deemed of sufficient quality to generate an interpretation. 541 patients had no evidence of DR, while 104 patients had some evidence of DR. 587 patients had no evidence of maculopathy, while 58 patients had some evidence of maculopathy on imaging. 246 patients had other pathology evident on imaging, with the most common being hypertensive retinopathy, glaucoma suspects, and cataracts. . In a rural, primary care setting, the JEI teleretina program identifies DR and other nondiabetic ocular pathologies, allowing for an appropriate triage for eye care for patients in a predominantly rural state.
在美国，相当一部分糖尿病患者没有进行年度散瞳眼科检查以监测糖尿病视网膜病变（DR）的迹象。本研究的目的是分析一项全州范围的多诊所远程视网膜项目的结果，该项目旨在为阿肯色州农村居民筛查这种致盲疾病。
在阿肯色州10家初级保健诊所就诊的糖尿病患者可获得远程视网膜成像服务。图像被传输到阿肯色大学医学科学分校（UAMS）的哈维和伯尼斯·琼斯眼科研究所（JEI）进行分级，并给出进一步治疗的建议。
从2019年2月到2022年5月，668名患者接受了成像检查；645张图像被认为质量足以进行解读。541名患者没有DR的证据，而104名患者有一些DR的证据。587名患者没有黄斑病变的证据，而58名患者在成像时有一些黄斑病变的证据。246名患者在成像中显示有其他病变，最常见的是高血压性视网膜病变、疑似青光眼和白内障。在农村初级保健环境中，JEI远程视网膜项目可识别DR和其他非糖尿病性眼部病变，从而为这个以农村为主的州的患者提供适当的眼科护理分诊。
