sdoct imaging to identify macular pathology in patients diagnosed with diabetic maculopathy by a digital photographic retinal screening programmesdoct成像识别黄斑病变患者诊断为糖尿病视网膜黄斑病变的数码摄影检查计划.pdfVIP

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sdoct imaging to identify macular pathology in patients diagnosed with diabetic maculopathy by a digital photographic retinal screening programmesdoct成像识别黄斑病变患者诊断为糖尿病视网膜黄斑病变的数码摄影检查计划.pdf

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sdoct imaging to identify macular pathology in patients diagnosed with diabetic maculopathy by a digital photographic retinal screening programmesdoct成像识别黄斑病变患者诊断为糖尿病视网膜黄斑病变的数码摄影检查计划

SDOCT Imaging to Identify Macular Pathology in Patients Diagnosed with Diabetic Maculopathy by a Digital Photographic Retinal Screening Programme 1 2 2 1 1 Sarah Mackenzie *, Christian Schmermer , Amanda Charnley , Dawn Sim , Vikas Tah , Martin 2 2 1 Dumskyj , Stephen Nussey , Catherine Egan 1 Moorfields at St George’s Hospital, London, United Kingdom, 2 Department of Endocrinology, St George’s Hospital, London, United Kingdom Abstract Introduction: Diabetic macular edema (DME) is an important cause of vision loss. England has a national systematic photographic retinal screening programme to identify patients with diabetic eye disease. Grading retinal photographs according to this national protocol identifies surrogate markers for DME. We audited a care pathway using a spectral- domain optical coherence tomography (SDOCT) clinic to identify macular pathology in this subset of patients. Methods: A prospective audit was performed of patients referred from screening with mild to moderate non-proliferative diabetic retinopathy (R1) and surrogate markers for diabetic macular edema (M1) attending an SDOCT clinic. The SDOCT images were graded by an ophthalmologist as SDOCT positive, borderline or negative. SDOCT positive patients were referred to the medical retina clinic. SDOCT negative and borderline patients were further reviewed in the SDOCT clinic in 6 months. Results: From a registered screening population of 17 551 patients with diabetes mellitus, 311 patients met the inclusion criteria between (March 2008 and September 2009). We analyzed images from 311 patients’ SDOCT clinic episodes. There were 131 SDOCT neg