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    Do routine eye exams reduce occurrence of blindness from type 2 diabetes?

    Tubbs, Charles G.
    Safeek, Abraham
    Mayo, Helen G.
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    [PDF] DoRoutineEyeExamsReduce.pdf (134.1Kb)
    Date
    2004
    Format
    Article
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    Abstract
    Screening eye exams for patients with type 2 diabetes can detect retinopathy early enough so treatment can prevent vision loss. Patients without diabetic retinopathy who are systematically screened by mydriatic retinal photography have a 95% probability of remaining free of sight-threatening retinopathy over the next 5 years. If background or preproliferative retinopathy is found at screening (Figure), the 95% probability interval for remaining free of sight-threatening retinopathy is reduced to 12 and 4 months, respectively (strength of recommendation [SOR]: B, based on 1 prospective cohort study). A reliably sensitive screening exam requires mydriatic retinal photography augmented by ophthalmoscopy when photographs are inconclusive (SOR: A, based on a systematic review). For patients with diabetes not differentiated by type, photocoagulation significantly decreases visual deterioration and reduces the chances of blindness (SOR: A, based on randomized controlled trials [RCT]).
    URI
    http://hdl.handle.net/10355/3065
    Part of
    Journal of family practice, 53, no. 09 (September 2004): 732-734.
    Rights
    OpenAccess.
    This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.
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    • Clinical Inquiries, 2004

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