20.500.12556/DKUM-91636 Screening for diabetic retinopathy a twelve-month review Prikaz rezultata dvanaestmjesečnog probira na dijabetičku retinopatiju The purpose is to provide a twelve-month database review of screening for diabetic retinopathy (DR). A total of 1428 diabetes mellitus (DM) patients screened in 2017 were analyzed in a retrospective study. Retinal photographs were reviewed by an ophthalmologist for the presence and stage of DR, as well as for additional nondiabetic findings. The following grading categories of DR were used: without DR, mild non-proliferative DR (NPDR), moderate NPDR, severe nonproliferative NPDR, proliferative DR (PDR), clinically significant macular edema (CSME) and ungradable finding. Severe NPDR, PDR and CSME were classified as vision-threatening DR. Out of 1428 DM patients, 27 were diagnosed with type 1 DM and 1401 with type 2 DM, 353 of them had newly diagnosed type 2 DM. Without DR category was recorded in 85.2% of all eyes screened, 2.8% were ungradable, and 12% showed varying stages of DR. Vision-threatening DR was found in 2.8% and additional nondiabetic findings in 5.2% of all screened eyes. In the group of newly diagnosed type 2 DM, 92.5% of screened eyes were without DR, 3.1% were ungradable and 4.3% showed varying stages of DR. In the group of newly diagnosed type 2 DM, vision-threatening DR was recorded in 0.1% and additional nondiabetic finding in 5.7% of the eyes screened. In conclusion, a small proportion of screened DM patients with detected DR had vision-threatening DR. Cilj je prikazati rezultate analize dvanaestomjesečne baze podataka probira na dijabetičku retinopatiju (DR). U retrospektivnoj studiji analizirano je 1428 bolesnika s dijabetesom melitusom (DM) pregledanih tijekom 2017. godine. Oftalmolog je pregledao snimke očne pozadine na prisutnost i stupanj DR te na prisutnost drugih nedijabetičkih promjena. Primijenjen je sljedeći sustav stupnjevanja DR: bez DR, blaga neproliferativna DR (NPDR), umjerena NPDR, teška NPDR, proliferativna DR (PDR), klinički značajan makularni edem (clinically significant macular edema, CSME) te nerazvrstani. Teška NPDR, PDR i CSME razvrstani su kao za vid ugrožavajuća DR. Od 1428 bolesnika s DM, 27 ih je imalo DM tip 1, 1401 DM tip 2, od potonjih je 353 imalo novootkriveni DM tip 2. Od svih pregledanih očiju 85,2% ih je bilo bez DR, 2,8% nerazvrstanih, 12% je imalo različite stupnjeve DR. Kod 2,8% svih pregledanih očiju nađena je za vid ugrožavajuća DR, u 5,2% nađene su dodatne nedijabetičke promjene. Bez DR je bilo 92,5% očiju novootkrivenih dijabetičara s DM tipa 2, 3,1% je bilo nerazvrstanih, 4,3% je imalo različite stupnjeve DR. Kod 0,1% očiju novootkrivenih dijabetičara s DM tipa 2 nađena je za vid ugrožavajuča DR, a u 5,7% nađene su dodatne nedijabetičke promjene. U zaključku, mali udio pregledanih dijabetičara s otkrivenom DR imao je za vid ugrožavajuću DR. diabetes mellitus diabetic retinopathy screening proliferative retinopathy maculopathy dijabetes melitus dijabetička retinopatija probir proliferativna retinopatija makulopatija true false true Sestre milosrdnice University Hospital, Institute for Clinical Medical Research Angleški jezik Hrvaški jezik Znanstveno delo 2025-01-22 09:04:15 2025-01-22 09:23:24 2025-01-23 03:09:08 0000-00-00 00:00:00 2020 0 0 Ključne besede v slovenščini: sladkorna bolezen, diabetična retinopatija, presejanje, proliferativna retinopatija, makulopatija Str. 424-430 št. 3 Letn. 59 2020 0000-00-00 Zaloznikova Objavljeno NiDoloceno 2018-07-11 2019-01-07 2020-09-01 617.7 45997059 10.20471/acc.2020.59.03.05 1333-9451 Gracner-2020-SCREENING_FOR_DIABETIC_RETINOPATH.pdf Gracner-2020-SCREENING_FOR_DIABETIC_RETINOPATH.pdf 1 A52835C2787F3B198BB155D2F79EB632 d1df55a6491f84dd687a2f5c466f810789cf9f631a5a27d76a2b235afe295823 fd859195-d899-11ef-9853-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=188043 https://doi.org/10.20471/acc.2020.59.03.05 0 0647ebe6-d89a-11ef-9853-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=188044 Medicinska fakulteta 0 0 0