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Title:Screening for diabetic retinopathy : a twelve-month review
Authors:ID Gračner, Tomaž (Author)
Files:.pdf Gracner-2020-SCREENING_FOR_DIABETIC_RETINOPATH.pdf (207,27 KB)
MD5: A52835C2787F3B198BB155D2F79EB632
 
URL https://doi.org/10.20471/acc.2020.59.03.05
 
Language:English
Work type:Scientific work
Typology:1.01 - Original Scientific Article
Organization:MF - Faculty of Medicine
Abstract: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.
Keywords:diabetes mellitus, diabetic retinopathy, screening, proliferative retinopathy, maculopathy
Publication status:Published
Publication version:Version of Record
Submitted for review:11.07.2018
Article acceptance date:07.01.2019
Publication date:01.09.2020
Publisher:Sestre milosrdnice University Hospital, Institute for Clinical Medical Research
Year of publishing:2020
Number of pages:Str. 424-430
Numbering:Letn. 59, št. 3
PID:20.500.12556/DKUM-91636 New window
UDC:617.7
ISSN on article:1333-9451
COBISS.SI-ID:45997059 New window
DOI:10.20471/acc.2020.59.03.05 New window
Note:Ključne besede v slovenščini: sladkorna bolezen, diabetična retinopatija, presejanje, proliferativna retinopatija, makulopatija
Publication date in DKUM:22.01.2025
Views:268
Downloads:8
Metadata:XML DC-XML DC-RDF
Categories:Misc.
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Record is a part of a journal

Title:Acta clinica Croatica
Shortened title:Acta clin. Croat.
Publisher:Sestre milosrdnice University Hospital, Institute for Clinical Medical Research
ISSN:1333-9451
COBISS.SI-ID:6272831 New window

Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:01.09.2020

Secondary language

Language:Croatian
Title:Prikaz rezultata dvanaestmjesečnog probira na dijabetičku retinopatiju
Abstract: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.
Keywords:dijabetes melitus, dijabetička retinopatija, probir, proliferativna retinopatija, makulopatija


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