Telemedicine for diabetic retinopathy screening using an ultra-widefield fundus camera

Nazimul Hussain,1 Maryam Edraki,2 Rima Tahhan,2 Nishanth Sanalkumar,2 Sami Kenz,2 Nagwa Khalil Akasha,2 Brian Mtemererwa,2 Nahed Mohammed2 1Department of Ophthalmology, Al Zahra Hospital, Sharjah, United Arab Emirates; 2Department of Endocrinology, Al Zahra Hospital, Sharjah, United Arab Emirates...

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Autores principales:	Hussain N, Edraki M, Tahhan R, Sanalkumar N, Kenz S, Akasha NK, Mtemererwa B, Mohammed N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Telemedicine Ultra Wide-filed Camera Diabetic retinopathy screening Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7f7ecb969a594b8b92906d4691940252
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spelling	oai:doaj.org-article:7f7ecb969a594b8b92906d46919402522021-12-02T00:30:54ZTelemedicine for diabetic retinopathy screening using an ultra-widefield fundus camera1177-5483https://doaj.org/article/7f7ecb969a594b8b92906d46919402522017-08-01T00:00:00Zhttps://www.dovepress.com/telemedicine-for-diabetic-retinopathy-screening-using-an-ultra-widefie-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Nazimul Hussain,1 Maryam Edraki,2 Rima Tahhan,2 Nishanth Sanalkumar,2 Sami Kenz,2 Nagwa Khalil Akasha,2 Brian Mtemererwa,2 Nahed Mohammed2 1Department of Ophthalmology, Al Zahra Hospital, Sharjah, United Arab Emirates; 2Department of Endocrinology, Al Zahra Hospital, Sharjah, United Arab Emirates Objective: Telemedicine reporting of diabetic retinopathy (DR) screening using ultra-widefield (UWF) fundus camera. Materials and methods: Cross-sectional study of diabetic patients who visited the endocrinology department of a private multi-specialty hospital in United Arab Emirates between April 2015 and January 2017 who underwent UWF fundus imaging. Fundus pictures are then accessed at the Retina Clinic in the Department of Ophthalmology. Primary outcome measure was incidence of any form of DR detected. The secondary outcome measure was failure to take good image and inability to grade. Results: A total of 1,024 diabetic individuals were screened for DR from April 2015 to January 2017 in the department of Endocrinology. Rate of DR was 9.27%; 165 eyes of 95 individuals were diagnosed to have some form of DR. Mild non-proliferative DR (NPDR) was seen in 114 of 165 eyes (69.09%), moderate NPDR in 32 eyes (19.39%), severe NPDR in six eyes (3.64%), and proliferative DR (PDR) in 13 eyes (7.88%). The secondary outcome measure of poor image acquisition was seen in one individual who had an image acquired in one eye that could not be graded due to bad picture quality. Conclusions: The present study has shown the effectiveness of DR screening using UWF fundus camera. It has shown the effectiveness of trained nursing personnel taking fundus images. This model can be replicated in any private multi-specialty hospital and reduce the burden of DR screening in the retina clinic and enhance early detection of treatable DR. Keywords: telemedicine, ultra-widefield camera, diabetic retinopathy screeningHussain NEdraki MTahhan RSanalkumar NKenz SAkasha NKMtemererwa BMohammed NDove Medical PressarticleTelemedicineUltra Wide-filed CameraDiabetic retinopathy screeningOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 1477-1482 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Telemedicine Ultra Wide-filed Camera Diabetic retinopathy screening Ophthalmology RE1-994
spellingShingle	Telemedicine Ultra Wide-filed Camera Diabetic retinopathy screening Ophthalmology RE1-994 Hussain N Edraki M Tahhan R Sanalkumar N Kenz S Akasha NK Mtemererwa B Mohammed N Telemedicine for diabetic retinopathy screening using an ultra-widefield fundus camera
description	Nazimul Hussain,1 Maryam Edraki,2 Rima Tahhan,2 Nishanth Sanalkumar,2 Sami Kenz,2 Nagwa Khalil Akasha,2 Brian Mtemererwa,2 Nahed Mohammed2 1Department of Ophthalmology, Al Zahra Hospital, Sharjah, United Arab Emirates; 2Department of Endocrinology, Al Zahra Hospital, Sharjah, United Arab Emirates Objective: Telemedicine reporting of diabetic retinopathy (DR) screening using ultra-widefield (UWF) fundus camera. Materials and methods: Cross-sectional study of diabetic patients who visited the endocrinology department of a private multi-specialty hospital in United Arab Emirates between April 2015 and January 2017 who underwent UWF fundus imaging. Fundus pictures are then accessed at the Retina Clinic in the Department of Ophthalmology. Primary outcome measure was incidence of any form of DR detected. The secondary outcome measure was failure to take good image and inability to grade. Results: A total of 1,024 diabetic individuals were screened for DR from April 2015 to January 2017 in the department of Endocrinology. Rate of DR was 9.27%; 165 eyes of 95 individuals were diagnosed to have some form of DR. Mild non-proliferative DR (NPDR) was seen in 114 of 165 eyes (69.09%), moderate NPDR in 32 eyes (19.39%), severe NPDR in six eyes (3.64%), and proliferative DR (PDR) in 13 eyes (7.88%). The secondary outcome measure of poor image acquisition was seen in one individual who had an image acquired in one eye that could not be graded due to bad picture quality. Conclusions: The present study has shown the effectiveness of DR screening using UWF fundus camera. It has shown the effectiveness of trained nursing personnel taking fundus images. This model can be replicated in any private multi-specialty hospital and reduce the burden of DR screening in the retina clinic and enhance early detection of treatable DR. Keywords: telemedicine, ultra-widefield camera, diabetic retinopathy screening
format	article
author	Hussain N Edraki M Tahhan R Sanalkumar N Kenz S Akasha NK Mtemererwa B Mohammed N
author_facet	Hussain N Edraki M Tahhan R Sanalkumar N Kenz S Akasha NK Mtemererwa B Mohammed N
author_sort	Hussain N
title	Telemedicine for diabetic retinopathy screening using an ultra-widefield fundus camera
title_short	Telemedicine for diabetic retinopathy screening using an ultra-widefield fundus camera
title_full	Telemedicine for diabetic retinopathy screening using an ultra-widefield fundus camera
title_fullStr	Telemedicine for diabetic retinopathy screening using an ultra-widefield fundus camera
title_full_unstemmed	Telemedicine for diabetic retinopathy screening using an ultra-widefield fundus camera
title_sort	telemedicine for diabetic retinopathy screening using an ultra-widefield fundus camera
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/7f7ecb969a594b8b92906d4691940252
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Telemedicine for diabetic retinopathy screening using an ultra-widefield fundus camera

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