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The reliability of single-field fundus photography in screening for diabetic retinopathy: the Central Australian Ocular Health Study

Janice J-Y Ku, John Landers, Tim Henderson and Jamie E Craig
Med J Aust 2013; 198 (2): 93-96. || doi: 10.5694/mja12.10607
  • Janice J-Y Ku1
  • John Landers2
  • Tim Henderson3
  • Jamie E Craig2

  • 1 Sydney Hospital and Sydney Eye Hospital, Sydney, NSW.
  • 2 Department of Ophthalmology, Flinders Medical Centre, Adelaide, SA.
  • 3 Department of Ophthalmology, Alice Springs Hospital, Alice Springs, NT.

Correspondence: jungyeonku@hotmail.com

Acknowledgements: 

We would like to thank Renu Raju, Susan Wearne, Kathryn Billing, Tim Gray, Ilesh Patel, Jwu Jin Khong, John Chang, Shane Durkin and Douglas Parker, without whom this project would not be possible. We would also like to thank Vanessa Davies and Sarah Ford for their support.

Competing interests:

This study is supported by the Ophthalmic Research Institute of Australia and the NHMRC Centres for Clinical Research Excellence.

  • 1. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet 1998; 352: 837-853.
  • 2. Klein R, Klein BE, Moss SE, Cruickshanks KJ. The Wisconsin Epidemiologic Study of Diabetic Retinopathy: XVII. The 14-year incidence and progression of diabetic retinopathy and associated risk factors in type 1 diabetes. Ophthalmology 1998; 105: 1801-1815.
  • 3. Resnikoff S, Pascolini D, Etya’ale D, et al. Global data on visual impairment in the year 2002. Bull World Health Organ 2004; 82: 844-851.
  • 4. Tapp RJ, Shaw JE, Harper CA, et al; AusDiab Study Group. The Prevalence of and factors associated with diabetic retinopathy in the Australian population. Diabetes Care 2003; 26: 1731-1737.
  • 5. Xie J, Arnold AL, Keeffe J, et al. Prevalence of self-reported diabetes and diabetic retinopathy in Indigenous Australians: the National Indigenous Eye Health Survey. Clin Experiment Ophthalmol 2011; 39: 487-493.
  • 6. Landers J, Henderson T, Abhary S, Craig J. Prevalence and associations of diabetic retinopathy in Indigenous Australians within central Australia: the Central Australian Ocular Health Study. Clin Experiment Ophthalmol 2010; 38: 393-397.
  • 7. Photocoagulation for diabetic macular edema. Early Treatment Diabetic Retinopathy Study report number 1. Early Treatment Diabetic Retinopathy Study research group. Arch Ophthalmol 1985; 103: 1796-1806.
  • 8. Schoenfeld ER, Greene JM, Wu SY, Leske MC. Patterns of adherence to diabetes vision care guidelines: baseline findings from the Diabetic Retinopathy Awareness Program. Ophthalmology 2001; 108: 563-571.
  • 9. Lee PP, Feldman ZW, Ostermann J, et al. Longitudinal rates of annual eye examinations of persons with diabetes and chronic eye diseases. Ophthalmology 2003; 110: 1952-1959.
  • 10. Bragge P, Gruen RL, Chau M, et al. Screening for presence or absence of diabetic retinopathy: a meta-analysis. Arch Ophthalmol 2011; 129: 435-444.
  • 11. Landers J, Henderson T, Craig J. Central Australian Ocular Health Study: design and baseline description of participants. Clin Experiment Ophthalmol 2010; 38: 375-380.
  • 12. Grading diabetic retinopathy from stereoscopic color fundus photographs--an extension of the modified Airlie House classification. ETDRS report number 10. Early Treatment Diabetic Retinopathy Study Research Group. Ophthalmology 1991; 98 (5 Suppl): 786-806.
  • 13. Williams GA, Scott IU, Haller JA, et al. Single-field fundus photography for diabetic retinopathy screening: a report by the American Academy of Ophthalmology. Ophthalmology 2004; 111: 1055-1062.
  • 14. Joannou J, Kalk WJ, Mahomed I, et al. Screening for diabetic retinopathy in South Africa with 60 degrees retinal colour photography. J Intern Med 1996; 239: 43-47.
  • 15. Maberley D, Cruess AF, Barile G, Slakter J. Digital photographic screening for diabetic retinopathy in the James Bay Cree. Ophthalmic Epidemiol 2002; 9: 169-178.
  • 16. Herbert HM, Jordan K, Flanagan DW. Is screening with digital imaging using one retinal view adequate? Eye (Lond) 2003; 17: 497-500.
  • 17. Taylor DJ, Fisher J, Jacob J, Tooke JE. The use of digital cameras in a mobile retinal screening environment. Diabet Med 1999; 16: 680-686.
  • 18. Pugh JA, Jacobson JM, Van Heuven WA, et al. Screening for diabetic retinopathy. The wide-angle retinal camera. Diabetes Care 1993; 16: 889-895.
  • 19. Lin DY, Blumenkranz MS, Brothers RJ, Grosvenor DM. The sensitivity and specificity of single-field nonmydriatic monochromatic digital fundus photography with remote image interpretation for diabetic retinopathy screening: a comparison with ophthalmoscopy and standardized mydriatic color photography. Am J Ophthalmol 2002; 134: 204-213.
  • 20. National Health and Medical Research Council. Guidelines for the management of diabetic retinopathy. Canberra: Commonwealth of Australia, 2008. http://www.nhmrc.gov.au/guidelines/publications/di15 (accessed Jul 2012).
  • 21. Hutchinson A, McIntosh A, Peters J, et al. Effectiveness of screening and monitoring tests for diabetic retinopathy--a systematic review. Diabet Med 2000; 17: 495-506.
  • 22. Lawrence MG. The accuracy of digital-video retinal imaging to screen for diabetic retinopathy: an analysis of two digital-video retinal imaging systems using standard stereoscopic seven-field photography and dilated clinical examination as reference standards. Trans Am Ophthalmol Soc 2004; 102: 321-340.
  • 23. Landers J, Henderson T, Craig J. Prevalence and associations of cataract in Indigenous Australians within central Australia: the Central Australian Ocular Health Study. Clin Experiment Ophthalmol 2010; 38: 387-392.
  • 24. Diamond JP, McKinnon M, Barry C, et al. Non-mydriatic fundus photography: a viable alternative to fundoscopy for identification of diabetic retinopathy in an Aboriginal population in rural Western Australia? Aust N Z J Ophthalmol 1998; 26: 109-115.
  • 25. Harper CA, Livingston PM, Wood C, et al. Screening for diabetic retinopathy using a non-mydriatic retinal camera in rural Victoria. Aust N Z J Ophthalmol 1998; 26: 117-121.
  • 26. Lee SJ, McCarty CA, Taylor HR, Keeffe JE. Costs of mobile screening for diabetic retinopathy: a practical framework for rural populations. Aust J Rural Health 2001; 9: 186-192.
  • 27. Maberley D, Walker H, Koushik A, Cruess A. Screening for diabetic retinopathy in James Bay, Ontario: a cost-effectiveness analysis. CMAJ 2003; 168: 160-164.

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