Article Title:

Implementation of national diabetes retinal screening programme is associated with a lower proportion of patients referred to opthalmology

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Diabet Med. 2005 Aug;22(8):112-5.


Leese GP, Morris AD, Swaminathan K, Petrie JR, Sinharay R, Ellingford A, Taylor A, Jung RT, Newton RW, Ellis JD.




To examine the impact of a new national retinal screening programme on screening attendance, techinical quality of images and referrals to the opthalmology clinic.


Results from the previous ad hoc retinal screening service were compared with data from the first year of the new Scottish Diabetes Retinal Screening Programme in Dundee, which was administered according to criteria recommended by the health Technology Board Scotland.


of 5150 patients invited for screening, 10.3% of patients did not attend. Overall, 4574 patients underwent single-field digital retinal photography and 25.4% required mydriasis for an adequate image. After screening, 1.9 and 90.5% were recalled for repeat photography at 6 months and 1 year, respectively, whilst 4.6% were ungradable and 3.0% were referred to the opthalmology clinic. Compared with the last 18 months of the previous scheme, with the new programme a smaller proportion of patients were referred to opthalmology (3.0 vs. 5.9%; P < 0.001, difference 2.9%: 95% confidence interval 2.1 - 3.7%). Moreover, the attendance was higher (89 vs. 82%; P < 0.01) and there were fewer ungradable images (4.6 vs. 7.1; P < 0.01).


Introduction of a systematic retinal screening programme can reduce the proportion of patients to the opthalmology clinic, and use opthalmology services more efficiently.

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