Use of High Resolution Digital Retinal Imaging in the Early Detection of Retinopathy in Type 1 Diabetes
Journal Title: Diabetes Research – Open Journal - Year 2015, Vol 1, Issue 4
Abstract
Background: Type 1 Diabetes Mellitus is one of the most common endocrine and metabolic conditions worldwide, affecting nearly half a million children under the age of 15 years with an anticipated rise in incidence of 4%. The ocular complications of type 1 diabetes can be blinding and thus, inflicting catastrophic consequences on quality of life. In this disease, the greatest impact in the prevention of vision loss comes from early detection and treatment. Methods: Retinal screening was performed to capture both right and left eyes of children as young as 5 years of age. A Canon CR-2 Plus AF (Tokyo, Japan) non-mydriatic retinal camera with a CMOS chip, a resolution of 18 megapixel and an ISO setting of 400 (range available is from 200 to 6400 ISO) in sensitivity was used for these images. Image management used was image SPECTRUM V5 (Canon USA, Irvine, CA), a postcapture imaging software that automatically separated a color image into three (3) monochromatic images; namely blue, green and red, to help visualize the nerve fiber layer, the retinal layers as well as the choroid, respectively. Results: In subjects with positive findings (mild diabetic retinopathy), retinal pathology was noted on digital imaging and involved retinal hemorrhages and vascular changes consistent with microaneurysms. Severe nonproliferative diabetic retinopathy was detected in one 20-year-old subject. One subject presented with cataract. Subjects with a positive finding were counseled and a referral to an ophthalmologist was recommended. Conclusions: Non-mydriatic retinal imaging used in mass screenings can help identify the early retinal changes and advance the management and care of patients with diabetic retinopathy. Improvements in digital imaging software and the ability to perform telemedicine from remote locations, can aid eye health care providers in the detection and isolation associated with various levels of retinopathy.
Authors and Affiliations
Nicole Mendez
Keywords
Related Articles
- EP ID EP550118
- DOI 10.17140/DROJ-1-114
- Views 131
- Downloads 0
Are BCAAs Mere Biomarkers of Diabetes?
Branched-chain amino acids (BCAAs; ie. leucine, isoleucine, and valine) are essential amino acids we need to ingest through our diet.While circulating BCAA levels were first found to be elevated in obese individuals back...
A Multicenter Italian Survey on Diabetes Care Units Reveals a Somewhat Slow Attitude in Treatment Guideline Implementation: Are We Dealing With Therapeutic Inertia?
Aim: Current guidelines suggest pursuing optimal metabolic management ever since the onset of type 2 diabetes mellitus (T2DM). Nevertheless, over 50% Italian patients fail to meet expected metabolic targets. The aim of o...
Effect of Low Carbohydrate Diet on Type 2 Diabetic Patients and Usefulness of M-Value
Background: Debate between the Calorie Restriction (CR) and Low-Carbohydrate Diet (LCD) has been continued for several years. We have started LCD therapy for diabetic patients since 1999, and experienced good response to...
Effect of Low Carbohydrate Diet on Type 2 Diabetic Patients and Usefulness of M-Value
Background: Debate between the Calorie Restriction (CR) and Low-Carbohydrate Diet (LCD) has been continued for several years. We have started LCD therapy for diabetic patients since 1999, and experienced good response to...
Associations of Waist-to-Height Ratio withVarious Emotional and Irregular Eating, andMaking Environment to Promote Eating in Japanese Adults: The Saku Cohort Study
Objective: The waist-to-height ratio (WHtR) has started gaining attention as a measure of abdominal obesity. While the associations between various eating behaviors and high BMI or obesity or overweight determined by BMI...