PMID- 31544045
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 2222-3959 (Print)
IS  - 2227-4898 (Electronic)
IS  - 2222-3959 (Linking)
VI  - 12
IP  - 9
DP  - 2019
TI  - Teleophthalmology: a strategy for timely diagnosis of sight-threatening diabetic 
      retinopathy in primary care, Concepcion, Chile.
PG  - 1474-1478
LID - 10.18240/ijo.2019.09.16 [doi]
AB  - AIM: To estimate the prevalence of diabetic retinopathy (DR) in a diabetic 
      population of the public health system. METHODS: This non-experimental, 
      descriptive and cross-sectional study, with no direct control over the variables 
      analysed, was carried out by the Telemedicine Unit of the University of 
      Concepcion (TELMED) and the Family Health Centers (CESFAM) of the Health Service 
      Concepcion, Chile, among a population of 7382 diabetic patients of the public 
      health system, from October 2014 to June 2015. Two digital images for each 
      patient's eyes were obtained and uploaded to the TELMED tele-ophthalmology 
      platform. The images were remotely evaluated by a retina expert ophthalmologist 
      for diagnosis. Treatment and a referral (if required) were recommended, and an 
      individualised report for each patient was sent to the place of origin. RESULTS: 
      The prevalence of DR in this study was 14.9%. Of these, 48.7% had mild 
      non-proliferative DR (NPDR), 30.8% moderate NPDR, 15.9% severe NPDR, and 4.6% 
      proliferative DR. Of the patients with DR, 17.8% were referred for fluorescein 
      angiography, 4.3% for panretinal photocoagulation, 1.2% for vitrectomy, and 0.4% 
      for cataract surgery. CONCLUSION: The use of telemedicine allowed an increased 
      screening coverage for DR in diabetic patients. The different types of DR were 
      detected in a timely manner, decreasing waiting times due to the lack of 
      specialists in ophthalmology in the public health system.
FAU - Avendano-Veloso, Angelica
AU  - Avendano-Veloso A
AD  - Telemedicine Unit, University of Concepcion, Concepcion, 4070386, Chile.
FAU - Parada-Hernandez, Felipe
AU  - Parada-Hernandez F
AD  - Telemedicine Unit, University of Concepcion, Concepcion, 4070386, Chile.
FAU - Gonzalez-Ramos, Raul
AU  - Gonzalez-Ramos R
AD  - School of Medicine, University of Concepcion, Concepcion, 4070386, Chile.
FAU - Dougnac-Osses, Camila
AU  - Dougnac-Osses C
AD  - School of Medicine, University of Concepcion, Concepcion, 4070386, Chile.
FAU - Carrasco-Saez, Jose Luis
AU  - Carrasco-Saez JL
AD  - Telemedicine Unit, University of Concepcion, Concepcion, 4070386, Chile.
FAU - Scanlon, Peter Henry
AU  - Scanlon PH
AD  - University of Oxford, University of Gloucestershire, Oxford, OX1 2JD, England, 
      UK.
LA  - eng
PT  - Journal Article
DEP - 20190918
PL  - China
TA  - Int J Ophthalmol
JT  - International journal of ophthalmology
JID - 101553860
PMC - PMC6739580
OTO - NOTNLM
OT  - diabetes mellitus
OT  - diabetic retinopathy
OT  - ophthalmology
OT  - telemedicine
OT  - teleophthalmology
EDAT- 2019/09/24 06:00
MHDA- 2019/09/24 06:01
PMCR- 2019/09/18
CRDT- 2019/09/24 06:00
PHST- 2019/03/27 00:00 [received]
PHST- 2019/05/29 00:00 [accepted]
PHST- 2019/09/24 06:00 [entrez]
PHST- 2019/09/24 06:00 [pubmed]
PHST- 2019/09/24 06:01 [medline]
PHST- 2019/09/18 00:00 [pmc-release]
AID - ijo-12-09-1474 [pii]
AID - 10.18240/ijo.2019.09.16 [doi]
PST - epublish
SO  - Int J Ophthalmol. 2019 Sep 18;12(9):1474-1478. doi: 10.18240/ijo.2019.09.16. 
      eCollection 2019.