April 2009
Volume 50, Issue 13
ARVO Annual Meeting Abstract  |   April 2009
Screening for Diabetic Retinopathy Using a Three-Field Digital Non Mydriatic Fundus Camera
Author Affiliations & Notes
  • T. Tran
    Ophthalmology, Hopital Saint Vincent, Lille, France
  • J. Rahmoun
    Ophthalmology, Hopital Saint Vincent, Lille, France
  • F. Denimal
    Ophthalmology, Hopital Saint Vincent, Lille, France
  • A. Hui Bon Hoa
    Ophthalmology, Hopital Saint Vincent, Lille, France
  • F. Delecourt
    Endocrinology, Hopital Saint Philibert, Lille, France
  • Footnotes
    Commercial Relationships  T. Tran, None; J. Rahmoun, None; F. Denimal, None; A. Hui Bon Hoa, None; F. Delecourt, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2009, Vol.50, 4428. doi:
  • Views
  • Share
  • Tools
    • Alerts
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      T. Tran, J. Rahmoun, F. Denimal, A. Hui Bon Hoa, F. Delecourt; Screening for Diabetic Retinopathy Using a Three-Field Digital Non Mydriatic Fundus Camera. Invest. Ophthalmol. Vis. Sci. 2009;50(13):4428.

      Download citation file:

      © ARVO (1962-2015); The Authors (2016-present)

  • Supplements

Purpose: : To estimate the prevalence of diabetic retinopathy, using three-field digital photography in patients with diabetes mellitus in a general hospital where ophthalmologist is not available.

Methods: : Patients from Endocrinology department of Saint Philibert hospital were screened consecutively from March 2007 to September 2008. Demographic and clinical data including date of birth, gender, type of diabetes, HbA1 c and albuminuria were recorded. Three 45° digital images per eye examinations were taken using a non-mydriatique fundus camera by a technician without dilatation and sent to the Department of Ophthalmology of Saint Vincent de Paul for grading by two ophthalmologists.

Results: : A total of 1147 adults patients (52% males, 48% females) were included. Median age was 60 years (19-108). Most patients were type 2 diabetes (n= 1028, 90%). Mean HbA1c was 8%. Albuminuria was detected in 239 patients (20.8%). Of these 1147 patients, 521 (45%) said they never have had fundus examination previously. Retinal photograph of at least one eyes could not be graded in 172 patients (15%). Diabetic retinopathy was detected in 185 patients (19%). Suspected macular edema (hard exsudate within one disc diameter of the macular center) was found in 75 eyes (3,2%). Referral to an ophthalmologist was required in 356 patients (31%) for diabetic retinopathy and ungradable photographs.

Conclusions: : Non-mydriatic photography, combined with telemedicine improve the screening of diabetic retinopathy and allow the identification of patients requiring further complete eye examination.

Keywords: diabetic retinopathy • clinical (human) or epidemiologic studies: prevalence/incidence 

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.