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A. Erginay, P. Massin, N. Robert, A.C. Bossu, C. Moreno, S. Hugerot, M. Cahane, J. Tichet, I. Mercat–Caudal, A. Gaudric; Screening for Diabetic Retinopathy in Children and Adolescents With Type–1 Diabetes by Using Color Fundus Photographs . Invest. Ophthalmol. Vis. Sci. 2005;46(13):367.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To estimate the prevalence of diabetic retinopathy (DR) in children and adolescents with type 1 diabetes Methods: 504 children and adolescents (250 boys et 254 girls) , aged 10–18 years (mean13+/–2years), were screened for DR using nonmydriatic photography, during their stay in a holiday camp for young diabetics. Five 45° digital colour images of 5 overlapping fields were taken for each eye: one image was centred on the macula, including the optic disc, and one each on the nasal, temporal, superior and inferior fields. The images, recorded on compact discs were sent to the Lariboisiere Hospital reading center for grading by two independent ophthalmologists. Results:All images had an excellent quality. A non proliferative mild DR was diagnosed in 22 children (4.4%) (10 boys, 12 girls). Mean diabetes duration was 4.8 ±3.4 years. Mean HbA1C was 8.4±1.5%. Prevalence of DR was highly correlated to the age of the chidren (p=10–5) with a prevalence of 1% before 14 years, 5.2% between 14 to 15, and 17.7% between 16 to 18, to the duration of diabetes (p=0,02), and slightly to the glycemic control (p=0.08).When the 22 children with DR were compared with 66 diabetic children matched for age, the only factor correlated with the presence of DR was the duration of diabetes. Conclusions: Fundus photography is a sensitive and effective tool to detect DR in young type 1 diabetic patients. Early detection of DR in adolescents is very important., because it allows to identify the patients with high–risk of progression towards severe stages of DR , and justifys a more frequent ophthalmological examination for them.
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