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Does delay in referral of proliferative diabetic retinopathy from the diabetic eye screening programme lead to visual loss?
- Source :
- Eye (London, England). 30(6)
- Publication Year :
- 2015
-
Abstract
- AimsTo ascertain the effect on visual acuity (VA) of a delay in Hospital Eye Service (HES) consultation for patients referred with proliferative diabetic retinopathy (PDR; R3) from the Diabetic Eye Screening Programme (DESP).MethodsAll patients referred to Moorfields Eye Hospital from DESP between April and December 2013 with a referral diagnosis of PDR in at least one eye were eligible. Screening programme VA was compared with VA at first HES appointment and final follow-up appointment. Reasons for any VA loss were noted.ResultsA total of 86 patients were included. Of these, 28 (33%) were seen in more than 4 weeks after their DESP referral. At first HES appointment, 39 (45%) patients were graded as having active PDR in at least one eye. Delay in referral did not significantly predict the likelihood of vision loss in all patients referred (χ(2), P=0.49) or in just those patients with a definitive HES diagnosis of active PDR (χ(2), P=1.00). In only 3 patients with active PDR was a delay in presentation thought to have led directly to VA loss.ConclusionsThere may be minimal short-term visual consequence in several weeks of delayed referral for many patients with a diagnosis of R3. However, the national guidance remains important. This is due to the occasional patient at very high risk of vision loss and the many gains for the patients in terms of time to properly assess medical and ocular conditions and counsel and consent them for treatment where necessary.
- Subjects :
- Male
medicine.medical_specialty
Visual acuity
Delayed Diagnosis
Time Factors
genetic structures
Referral
Vision Disorders
Visual Acuity
Glaucoma
030209 endocrinology & metabolism
Ophthalmic pathology
Neuro-ophthalmology
03 medical and health sciences
0302 clinical medicine
Vision Screening
Ophthalmology
medicine
Humans
Fluorescein Angiography
Referral and Consultation
Retrospective Studies
Glycated Hemoglobin
Diabetic Retinopathy
medicine.diagnostic_test
business.industry
Retrospective cohort study
Diabetic retinopathy
Middle Aged
medicine.disease
Fluorescein angiography
eye diseases
030221 ophthalmology & optometry
Clinical Study
Female
medicine.symptom
business
Tomography, Optical Coherence
Subjects
Details
- ISSN :
- 14765454
- Volume :
- 30
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Eye (London, England)
- Accession number :
- edsair.doi.dedup.....92abe94a8df760ae854ce98240ca6ffa