Journal article
Feasibility of retinal screening in a pediatric population with type 1 diabetes mellitus
Journal of pediatric ophthalmology and strabismus, Vol.51(5), pp.299-306
09/2014
DOI: 10.3928/01913913-20140709-01
PMID: 25020279
Abstract
To study the feasibility of using a nonmydriatic camera to screen children with type 1 diabetes mellitus (DM1) as young as 2 years for diabetic retinopathy. Prospective pilot imaging study involving children with DM1 aged 2 to 17 years. The screening consisted of: (1) intake form; (2) measurement of blood pressure, pulse, and oximetry; (3) assessment of visual acuity (SIMAV, Padova, Italy); and (4) nonmydriatic color imaging (Canon CX-1 45° 15.1 megapixel camera; Canon Corp., Tokyo, Japan). Images were assessed for signs of diabetic retinopathy and graded for quality on a scale of 1 to 5 by two clinicians. Kappa coefficient was calculated to determine inter-observer agreement. One hundred four of 106 (98%) children underwent imaging (mean age: 11.1 years, 51% male, 88% white). One (1%) child had nonproliferative diabetic retinopathy and 2 (1.9%) had incidental findings. Only 62% of children had an eye examination within the past year, with children with DM1 for more than 5 years significantly more likely to have done so (P = .03). Children who had an eye examination within the past year were significantly older than their counterparts (P = .01). Images of high quality (grades 4 and 5) were acquired in 178 (86%) eyes, and images of some clinical value (grades ≥ 2) were obtained in 207 (99.5%) eyes. Inter-observer agreement for image quality was 0.896. The feasibility of using a nonmydriatic camera to screen children as young as 2 years for changes related to diabetic eye disease was demonstrated. Nonmydriatic imaging may supplement standard dilated clinical ophthalmology examinations for select patient populations.
Details
- Title: Subtitle
- Feasibility of retinal screening in a pediatric population with type 1 diabetes mellitus
- Creators
- Anton M KolomeyerNatasha V NayakMelissa A SimonBernard C SzirthKhadija ShahidIris Y ShengTina XiaAlbert S Khouri
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric ophthalmology and strabismus, Vol.51(5), pp.299-306
- Publisher
- United States
- DOI
- 10.3928/01913913-20140709-01
- PMID
- 25020279
- ISSN
- 0191-3913
- eISSN
- 1938-2405
- Language
- English
- Date published
- 09/2014
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9983979974502771
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