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Abstract #27949 Published in IGR 13-1
Ophthalmic disease in diabetes mellitus: Management from primary health care
Sender Palacios MJ; Vernet Vernet M; Maseras Bove M; Salvador Playa A; Pascual Batlle L; Ondategui Parra JC; Jovell Fernandez EAtencion Primaria 2011; 43: 41-48
Objective: To study the feasibility of a basic ophthalmological examination for the eye disease in diabetic patients by Primary Health Care (PHC). Patients and methods: A multi-centre prospective study. A sample of 712 type 2 diabetics. Interventions: Visual acuity examination, intraocular pressure measurement and the eye fundus photograph with a non-mydriatic camera taken by an optometrist. The interpretation and subsequent referral to an ophthalmology department by ophthalmologists and general practitioners (GP). Results: Visual acuity deficiency: GP, 43.7%; ophthalmologist, 36.1%; concordance, 70%; glaucoma suspicion: GP, 8.8%; ophthalmologist, 7.6%; concordance, 94%; diabetic retinopathy: GP, 28.2%; ophthalmologist, 13.4%; concordance, 78%. Ophthalmology Department referral: GP, 56.8%; ophthalmologist, 41.3% (P=0.001). Conclusions: Agreement between GP and ophthalmologist leads to a reliable ophthalmological examination of the diabetic patient in PHC. Despite an over-diagnosis and 16% of non-justified referrals by the GP, Ophthalmology Department referral is avoided in almost half of the diabetic patients.
M. J. Sender Palacios. CAP Terrassa Nord, Consorci Sanitari de Terrassa, Barcelona, Spain. mjsender@cst.cat
Classification:
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
1.6 Prevention and screening (Part of: 1 General aspects)