Method of screening for diabetic retinopathy.docVIP

 PAGE \* MERGEFORMAT 13 Method of screening for diabetic retinopathy Of: Zhang Lei, Xu Weiqiang, Tan Rongjiang, Liu Jiao, Lin Qimin [Abstract] Objective: Through direct funduscopy dilated, non-mydriatic digital fundus photography and fundus fluorescein angiography 3 examination methods on suspected patients with diabetic retinopathy compared to inspect and evaluate and optimize inspection procedures and methods. Methods: 2007 01/2009 01 outpatient visits and inpatient hospital, 264 cases of diabetes diagnosed in patients with dilated direct ophthalmoscopy examination, non mydriatic digital fundus photography and fundus fluorescein angiography examination. fundus diagnosis specialist film-reading to fundus fluorescein angiography diagnosis as the standard. Key Indicators dilated direct ophthalmoscopy examination, non-mydriatic digital fundus photography methods of screening and diagnosis of the sensitivity, specificity, and fundus fluorescein angiography with the consistency of diagnosis. Results: The diabetic retinopathy stage threshold for the screening of direct ophthalmoscopy and fundus photography to avoid dilation of the sensitivity of 63.4%, respectively, 86.8%, specificity were 76.9%, 92.3%, Youden index was 41.1%, 79.1%, Kappa test consistency were 41.9%, 80.7%. to 2 diabetic retinopathy screening threshold for the direct ophthalmoscopy and mydriatic fundus photography to avoid the sensitivity was 65.5%, 93.1% and the specificity is 94.7%, 97.4%, Youden index was 60.3%, 90.5%, Kappa test the consistency of 39.1%, respectively, 61.2%. Conclusion: Non-mydriatic digital fundus photography can be used as stage diabetic retinopathy diabetic retinopathy more than optimal screening and diagnosis methods. [Keywords:] diabetic retinopathy, screening, digital fundus photography, fundus fluorescein angiography Abstract AIM: To evaluate the ability of digital fundus photography and direct funduscopy to detect diabetic retinopathy (DR) in patients with