Telepaediatrics and diabetic retinopathy screening of young people with diabetes in Queensland.

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2004-12-17
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We have examined the feasibility of a telemedicine enabled screening service for children and adolescents with diabetes in Queensland There are approximately 1400 young people with diabetes in Queensland and only about two thirds of them are screened in accordance with international guidelines A regional retinal screening service was established using a nonmydriatic digital retinal camera Seven centres volunteered to participate in the study During a five month pilot trial 83 of the young people with diabetes who attend these centres underwent digital retinal screening 3 7 Retinal images were sent via email to a paediatric ophthalmologist for review and results were returned via email A copy of each participant s results was forwarded by mail to the referring diabetes doctor and the participant and family The majority of the image files 96 were rated as excellent or good Only one participant was identified as having an abnormal result Participants and their families expressed satisfaction with the digital retinal screening process
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