Background
Early detection and treatment of diabetic retinopathy (DR) can
prevent nearly all associated severe vision loss. We investigated
the feasibility of DR screening using nonmydriatic cameras in two
Australian primary care clinics.
Discussion
General practice based DR screening was feasible and acceptable in
the clinics studied, but photograph quality was an issue.
Results
One hundred and fourteen patient participants provided 219
photographs. Two ophthalmologists read 158 photographs and
deemed 61% (97/158) interpretable, but GPs tended to accept
more photographs for interpretation. General practitioners’
diagnostic sensitivity and specificity was 87% and 95% respectively.
Participating GPs were very positive about expanding their clinical
role into DR screening.
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