Feasibility and efficacy of diabetic retinopathy screening among youth with diabetes in a pediatric endocrinology clinic: a cross-sectional study

Tapley, Jeffrey L.; McGwin, Gerald; Ashraf, Ambika P.; MacLennan, Paul A.; Callahan, Koula; Searcey, Karen; Witherspoon, C. Douglas; Saaddine, Jinan; Owsley, Cynthia

doi:10.1186/s13098-015-0054-z

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Feasibility and efficacy of diabetic retinopathy screening among youth with diabetes in a pediatric endocrinology clinic: a cross-sectional study

Published Date:

Jun 24 2015

Publisher's site:

http://dx.doi.org/10.1186/s13098-015-0054-z New Site Icon

Source:

Diabetol Metab Syndr. 7.

[PDF-403.23 KB]

Details:

Personal Authors:

Tapley, Jeffrey L. ; McGwin, Gerald ; Ashraf, Ambika P. ; MacLennan, Paul A. ; Callahan, Koula ; ... More ▼

Keywords:

[+]

Pubmed ID:

26136849

Pubmed Central ID:

PMC4487844

Description:

Background

We examined the feasibility and efficacy of using a non-mydriatic camera to screen for diabetic retinopathy (DR) among youth with type 1 or type 2 diabetes seen in a pediatric endocrinology clinic serving Alabama, the state that has the highest diabetes rate in the United States.

Methods

236 youths with type 1 or type 2 diabetes were screened for DR using a non-mydriatic camera. Visual acuity was also assessed. A questionnaire asked parents about diabetes and eye care history.

Results

Mean duration since diabetes diagnosis was 5.5 years. 66 % reported receiving an eye examination within the previous year. 97.5 % had images that were gradable. DR was detected in 3.8 % of participants. 9.1 % were visually impaired.

Conclusions

Use of a non-mydriatic fundus camera is feasible and efficacious for DR screening in youth with diabetes. DR screening at routine endocrinology visits may be beneficial in managing youth with diabetes and preventing irreversible vision loss, particularly for those in regions where diabetes rates are high.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Supporting Files:

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