Gatling W, Howie A J, Hill R D
Department of Diabetes, Poole Hospital NHS Trust, Dorset, UK.
Diabet Med. 1995 Jun;12(6):531-6. doi: 10.1111/j.1464-5491.1995.tb00536.x.
In many cases, blindness due to diabetic retinopathy can be prevented provided treatment with laser photocoagulation is used at the correct time. A screening programme is required to identify cases of sight threatening retinopathy. An optical practice based diabetic eye screening programme has been established in Dorset. The optometrist undertaking the examination is paid a fee. The findings are recorded on a coded form and sent to the hospital diabetologist who recalls positive cases. Seventy-six optical practices have joined the scheme and 3224 patients have been screened in the first 6 months (Dorset population 655,000). In the Poole area (population 230,000), 1922 patients were screened and 129 (6.7%) were recalled in 6 months. Outcome of 3 months screening, identified 59 recalls. Referral to the opthalmologist was made in 15 cases for potentially sight threatening retinopathy, 14 cases were followed in the diabetic clinic for significant background retinopathy, and 24 cases were returned to the annual screening in the optical practices. Six cases where the patients either failed or were unable to attend were reviewed by the GP. An optical practice based diabetic eye screening programme has been successful in screening a large number of patients.
在许多情况下，只要在正确的时间使用激光光凝治疗，糖尿病视网膜病变导致的失明是可以预防的。需要一个筛查项目来识别有视力威胁的视网膜病变病例。多塞特郡已经建立了一个基于验光诊所的糖尿病眼部筛查项目。进行检查的验光师会收取费用。检查结果记录在一份编码表格上，并发送给医院的糖尿病专家，由专家召回呈阳性的病例。76家验光诊所加入了该计划，在头6个月里对3224名患者进行了筛查（多塞特郡人口65.5万）。在普尔地区（人口23万），6个月内对1922名患者进行了筛查，129名（6.7%）被召回。3个月筛查的结果确定了59例召回病例。其中15例因潜在的有视力威胁的视网膜病变被转诊至眼科医生处，14例因显著的背景性视网膜病变在糖尿病诊所接受随访，24例返回验光诊所进行年度筛查。6例患者未能或无法前来就诊的情况由全科医生进行了复查。一个基于验光诊所的糖尿病眼部筛查项目成功地筛查了大量患者。
