Lawrenson R A, Dunn P J, Worsley D, Williams S, Jenkin K
Waikato Hospital and Health Waikato, Hamilton.
N Z Med J. 1994 May 11;107(977):172-4.
To evaluate a diabetic retinopathy screening programme for rural people with diabetes.
A retinal camera was transported to rural Waikato communities. Colour slide photographs were taken of the retina and lens of diabetic patients who had not had a previous review of their eyes by an ophthalmologist. The photographs were reviewed by an ophthalmologist, and those patients with an abnormality were referred back to their general practitioner who arranged further specialist assessment.
Three hundred and ninety six patients have been screened and 116 patients have been referred on for specialist review. Fifty two of these patients had evidence of diabetic retinopathy, eight have been treated with laser treatment and one patient has had retinal surgery. No patients had to be recalled for repeat photographs.
Retinal photography is an effective method of screening for sight threatening pathology in rural people with diabetes. Transportation of the retinal camera by station wagon is a practical way of making the service accessible.
评估一项针对农村糖尿病患者的糖尿病视网膜病变筛查项目。
将一台视网膜相机运至怀卡托农村社区。为之前未接受眼科医生眼部检查的糖尿病患者拍摄视网膜和晶状体的彩色幻灯片照片。这些照片由一名眼科医生进行评估，异常患者被转回其全科医生处，由全科医生安排进一步的专科评估。
已对396名患者进行了筛查，116名患者被转介进行专科评估。其中52名患者有糖尿病视网膜病变证据，8名患者接受了激光治疗，1名患者接受了视网膜手术。没有患者需要被召回重新拍照。
视网膜摄影是筛查农村糖尿病患者致盲性病变的有效方法。用旅行车运输视网膜相机是提供此项服务的一种切实可行的方式。
