Screening for diabetic retinopathy in primary care with a mobile fundal camera - evaluation of a South African pilot project

 

Show simple item record

dc.contributor.author Mash, Bob
dc.contributor.author Powell, Di
dc.contributor.author du Plessis, Felicity
dc.contributor.author van Vurren, Unita
dc.contributor.author Michalowska, Margaret
dc.contributor.author Levitt, Naomi
dc.date.accessioned 2016-09-16T06:34:55Z
dc.date.available 2016-09-16T06:34:55Z
dc.date.issued 2007
dc.identifier.citation Mash, B., Powell, D., Du Plessis, F., Van Vuuren, U., Michalowska, M., & Levitt, N. (2008). Screening for diabetic retinopathy in primary care with a mobile fundal camera–evaluation of a South African pilot. South African Medical Journal, 97(12), 1284-1288.
dc.identifier.uri http://hdl.handle.net/11427/21788
dc.identifier.uri http://www.samj.org.za/index.php/samj/article/view/203
dc.description.abstract Background and aims. In South Africa diabetes makes a significant contribution to the burden of disease. Diabetic retinopathy is a leading cause of adult blindness, and screening can reduce the incidence. This project aimed to implement and evaluate a new service for retinal screening that uses a non-mydriatic mobile fundal camera in primary care. This is the first time such a service has been evaluated in an African primary care context. Methods. The service was implemented as an operational research study at three community health centres and data were collected to evaluate the operational issues, screening, reporting and referral of patients. Results. Out of 400 patients screened 84% had a significantly reduced visual acuity, 63% had retinopathy (22% severe nonproliferative, 6% proliferative and 15% maculopathy), 2% of eyes could not be screened and 14% of patients required dilatation. Referral was necessary in 27% of cases for cataracts, in 7% for laser treatment and in 4% for other specialist services. Repeat photography was needed in 8% and urgent follow-up in 12%. A SWOT analysis of the pilot project was completed and recommendations were made on how to integrate it into the district health system. Conclusion. Screening with a fundal camera improved the quality of care for diabetic patients and is feasible in the South African public sector, primary care setting. A single technician should be able to photograph almost 10 000 patients a year.
dc.language.iso eng
dc.source South African Medical Journal
dc.source.uri http://www.samj.org.za/index.php/samj
dc.title Screening for diabetic retinopathy in primary care with a mobile fundal camera - evaluation of a South African pilot project
dc.type Journal Article en_ZA
dc.date.updated 2016-01-07T08:17:57Z
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Endocrinology and Diabetology en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Mash, B., Powell, D., du Plessis, F., van Vurren, U., Michalowska, M., & Levitt, N. (2007). Screening for diabetic retinopathy in primary care with a mobile fundal camera - evaluation of a South African pilot project. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/21788 en_ZA
dc.identifier.chicagocitation Mash, Bob, Di Powell, Felicity du Plessis, Unita van Vurren, Margaret Michalowska, and Naomi Levitt "Screening for diabetic retinopathy in primary care with a mobile fundal camera - evaluation of a South African pilot project." <i>South African Medical Journal</i> (2007) http://hdl.handle.net/11427/21788 en_ZA
dc.identifier.vancouvercitation Mash B, Powell D, du Plessis F, van Vurren U, Michalowska M, Levitt N. Screening for diabetic retinopathy in primary care with a mobile fundal camera - evaluation of a South African pilot project. South African Medical Journal. 2007; http://hdl.handle.net/11427/21788. en_ZA
dc.identifier.ris TY - Journal Article AU - Mash, Bob AU - Powell, Di AU - du Plessis, Felicity AU - van Vurren, Unita AU - Michalowska, Margaret AU - Levitt, Naomi AB - Background and aims. In South Africa diabetes makes a significant contribution to the burden of disease. Diabetic retinopathy is a leading cause of adult blindness, and screening can reduce the incidence. This project aimed to implement and evaluate a new service for retinal screening that uses a non-mydriatic mobile fundal camera in primary care. This is the first time such a service has been evaluated in an African primary care context. Methods. The service was implemented as an operational research study at three community health centres and data were collected to evaluate the operational issues, screening, reporting and referral of patients. Results. Out of 400 patients screened 84% had a significantly reduced visual acuity, 63% had retinopathy (22% severe nonproliferative, 6% proliferative and 15% maculopathy), 2% of eyes could not be screened and 14% of patients required dilatation. Referral was necessary in 27% of cases for cataracts, in 7% for laser treatment and in 4% for other specialist services. Repeat photography was needed in 8% and urgent follow-up in 12%. A SWOT analysis of the pilot project was completed and recommendations were made on how to integrate it into the district health system. Conclusion. Screening with a fundal camera improved the quality of care for diabetic patients and is feasible in the South African public sector, primary care setting. A single technician should be able to photograph almost 10 000 patients a year. DA - 2007 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2007 T1 - Screening for diabetic retinopathy in primary care with a mobile fundal camera - evaluation of a South African pilot project TI - Screening for diabetic retinopathy in primary care with a mobile fundal camera - evaluation of a South African pilot project UR - http://hdl.handle.net/11427/21788 ER - en_ZA


Files in this item

This item appears in the following Collection(s)

Show simple item record