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The aim of this study is to evaluate the monitoring of moderate diabetic retinopathy by tele-expertise
This study compares 2 strategies of monitoring of moderate diabetic retinopathy (RD).After a consultation with an orthoptist for measurement of visual acuity, measurement of ocular tone by pulsed air tonometer, retinography pictures (9 photographs: one of the posterior pole and 8 of the retinal periphery) and Optical Coherence Tomography (OCT), results are evaluated on-site by an ophthalmologist and then sent through a secure medical online application to an ophthalmologist expert in RD for assessment. Each patient is his own control.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| moderate diabetic retinopathy follow-up by tele-expertise | Other | Consultation by an orthoptist to measure visual acuity, eye tone by pulsed air tonometer, and retinography images after pupillary dilatation (9 photographs: one of the posterior pole and 8 of the peripheral retina) and optical coherence tomography (OCT). The results are immediately evaluated on site by an ophthalmologist. The results are sent through a secure online medical application to a diabetic retinopathy specialist ophthalmologist for evaluation. |
| Measure | Description | Time Frame |
|---|---|---|
| classification of diabetic retinopathy (DR) | DR is classified in 3 stages : moderate non proliferative DR, severe non proliferative DR, and proliferative DR | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| classification of macular edema | macular edema (ME) is classified in 4 stages : no ME , mild ME, moderate ME, severe ME | 1 month |
| follow-up strategy | follow-up strategy can take to ways : no treatment required and continuation of the monitoring/ complementary exam or treatment required |
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Inclusion Criteria:
Exclusion Criteria:
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patient with complicated diabetes mellitus with moderate retinopathy requiring periodic follow-up by an ophthalmologist
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| Name | Affiliation | Role |
|---|---|---|
| Alfred Penfornis | Centre Hospitalier Sud Francilien | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier Sud Francilien | Corbeil-Essonnes | 91106 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22765981 | Background | Schulze-Dobold C, Erginay A, Robert N, Chabouis A, Massin P. Ophdiat((R)): five-year experience of a telemedical screening programme for diabetic retinopathy in Paris and the surrounding area. Diabetes Metab. 2012 Nov;38(5):450-7. doi: 10.1016/j.diabet.2012.05.003. Epub 2012 Jul 4. | |
| 19349202 | Background | Chabouis A, Berdugo M, Meas T, Erginay A, Laloi-Michelin M, Jouis V, Guillausseau PJ, M'bemba J, Chaine G, Slama G, Cohen R, Reach G, Marre M, Chanson P, Vicaut E, Massin P. Benefits of Ophdiat, a telemedical network to screen for diabetic retinopathy: a retrospective study in five reference hospital centres. Diabetes Metab. 2009 Jun;35(3):228-32. doi: 10.1016/j.diabet.2008.12.001. Epub 2009 Apr 5. |
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| ID | Term |
|---|---|
| D003930 | Diabetic Retinopathy |
| ID | Term |
|---|---|
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
| D003925 | Diabetic Angiopathies |
| D014652 | Vascular Diseases |
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| 1 month |
| medical time necessary for examination and analyse | time necessary for direct examination and analyse by ophthalmologist on-site and time necessary for remote analyse are measured | 1 month |
| 18424210 | Background | Erginay A, Chabouis A, Viens-Bitker C, Robert N, Lecleire-Collet A, Massin P. OPHDIAT: quality-assurance programme plan and performance of the network. Diabetes Metab. 2008 Jun;34(3):235-42. doi: 10.1016/j.diabet.2008.01.004. |
| D002318 |
| Cardiovascular Diseases |
| D048909 | Diabetes Complications |
| D003920 | Diabetes Mellitus |
| D004700 | Endocrine System Diseases |