Bagga P, Verma D, Walton C, Masson E A, Hepburn D A
Department of Ophthalmology, Hull Royal Infirmary, UK.
Diabet Med. 1998 Sep;15(9):780-2. doi: 10.1002/(SICI)1096-9136(199809)15:9<780::AID-DIA632>3.0.CO;2-K.
A postal survey of diabetologists was conducted regarding the provision of diabetic retinopathy screening services in England and Wales. About 2.5 million people had no existing or planned screening service. For the rest, the perceived percentage of patients with diabetes screened varied from less than 25% to more than 90%. Multiple modes of screening were used in most units. Lack of funding was identified as the major reason for non-provision of an adequate screening service. About 18% of the units had to use research or charitable funds for screening. Only 50% of the units using optometrists for screening had standard protocols for referral. The average wait before an ophthalmologist's opinion on sight threatening retinopathy detected by screening was unacceptably high in some units. We would suggest that establishment of identical screening protocols and provision of adequate funding on a national basis ought to be the priority if incidence of blindness from diabetic retinopathy is to be reduced according to the St Vincent Declaration.
针对英格兰和威尔士糖尿病视网膜病变筛查服务的提供情况，对糖尿病专家进行了一项邮政调查。约250万人没有现有的或计划中的筛查服务。对于其余人群，已接受筛查的糖尿病患者的预估比例从不到25%到超过90%不等。大多数单位采用了多种筛查方式。资金短缺被认为是未能提供充分筛查服务的主要原因。约18%的单位不得不使用研究或慈善资金进行筛查。在使用验光师进行筛查的单位中，只有50%有标准的转诊方案。在一些单位，筛查发现有威胁视力的视网膜病变后，等待眼科医生给出意见的平均时间长得令人无法接受。我们建议，如果要根据《圣文森特宣言》降低糖尿病视网膜病变导致失明的发生率，那么在全国范围内建立统一的筛查方案并提供充足资金应成为首要任务。
