Diabetic Retinopathy and Diabetic Macular Edema Screening by Non-Physicians With Limited Training
|Diabetic Retinopathy||Device: Digital retina image Device: direct ophthalmoscopy Procedure: comprehensive eye exam|
|Study Design:||Allocation: Non-Randomized
Intervention Model: Factorial Assignment
Masking: Open Label
Primary Purpose: Screening
- Sensitivity, specificity, kappa coefficient [ Time Frame: cross-sectional ]
|Study Start Date:||May 2005|
|Study Completion Date:||June 2006|
Diabetic visual disabilities have increasingly become a global concern since a number of diabetic patients are expected to surge dramatically in the coming decade. Essential means to minimize this problem are detecting vision-threatening diabetic retinopathy early in the course of disease and timely interventions by ophthalmologists.
The American Diabetes Association had issued a guideline for the detection and recommended regular comprehensive eye examination as a preferred method. However, it is not likely that there will be ophthalmologists enough to comprehensively examine the surging number of diabetic patients. Other practical screening methods, such as an interpretation of digital retinal images or direct ophthalmoscopy employed by other health care providers, for identifying the retinopathy for referral to ophthalmologists, should minimize this problem.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00500097
|Department of Ophthalmology, Rajavithi Hospital|
|Bangkok, Thailand, 11120|
|Principal Investigator:||Paisan Ruamviboonsuk, MD||Department of Ophthalmology, Rajavithi Hospital, Bangkok, Thailand 10400|