Active prevention in diabetic eye disease. A 4-year follow-up
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field Ten years after the foundation of a national diabetic eye screening program in 1980, we have established a low prevalence of blindness and partial sight in type 1 and type 2 diabetics in Ic...
Published in: | Acta Ophthalmologica Scandinavica |
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Online Access: | http://hdl.handle.net/2336/112626 https://doi.org/10.1111/j.1600-0420.1997.tb00766.x |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/112626 2023-05-15T16:48:44+02:00 Active prevention in diabetic eye disease. A 4-year follow-up Kristinsson, J K Hauksdottir, H Stefansson, E Jonasson, F Gislason, I Department of Ophthalmology, Landakotsspítali, University of Iceland, Reykjavík. 2010-10-07 http://hdl.handle.net/2336/112626 https://doi.org/10.1111/j.1600-0420.1997.tb00766.x en eng Blackwell http://dx.doi.org/10.1111/j.1600-0420.1997.tb00766.x Acta Ophthalmol Scand. 1997, 75(3):249-54 1395-3907 9253967 doi:10.1111/j.1600-0420.1997.tb00766.x http://hdl.handle.net/2336/112626 Acta ophthalmologica Scandinavica Adolescent Adult Age of Onset Aged Blindness Child Diabetes Mellitus Type 1 Diabetic Retinopathy Female Follow-Up Studies Humans Iceland Incidence Macular Edema Male Middle Aged Prevalence Prospective Studies Vision Screening Visual Acuity Article 2010 ftlandspitaliuni https://doi.org/10.1111/j.1600-0420.1997.tb00766.x 2022-05-29T08:21:37Z To access publisher full text version of this article. Please click on the hyperlink in Additional Links field Ten years after the foundation of a national diabetic eye screening program in 1980, we have established a low prevalence of blindness and partial sight in type 1 and type 2 diabetics in Iceland. We ask whether the screening program is also associated with a low incidence of blindness in diabetics. We now report the results of a prospective study on the 4-year incidence of diabetic retinopathy and visual impairment in type 1 diabetics with age at onset less than 30 years. Out of 205 patients participating at baseline, 175 patients (85.4%) participated over the full 4-year period. Patients were examined annually and received laser treatment according to Diabetic- and Early Treatment Diabetic Retinopathy Study criteria. The 4-year incidence of any retinopathy was 38.1%, of proliferative retinopathy 6.6%, and of macular edema 3.4%. Out of 174 patients, 7.4% showed improvement in visual acuity of 2 Snellen lines while 2.5% experienced worsening of visual acuity of 2 Snellen lines during the 4-year period. No diabetic suffered more than 2 lines deterioration of vision and none became legally blind. The incidence of retinopathy in Icelandic type 1 diabetics participating in our annual eye screening program is low and the visual acuity stable. Our results suggest that visual impairment in diabetics can be prevented with active regular screening and standard laser therapy. Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Acta Ophthalmologica Scandinavica 75 3 249 254 |
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Open Polar |
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Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Adolescent Adult Age of Onset Aged Blindness Child Diabetes Mellitus Type 1 Diabetic Retinopathy Female Follow-Up Studies Humans Iceland Incidence Macular Edema Male Middle Aged Prevalence Prospective Studies Vision Screening Visual Acuity |
spellingShingle |
Adolescent Adult Age of Onset Aged Blindness Child Diabetes Mellitus Type 1 Diabetic Retinopathy Female Follow-Up Studies Humans Iceland Incidence Macular Edema Male Middle Aged Prevalence Prospective Studies Vision Screening Visual Acuity Kristinsson, J K Hauksdottir, H Stefansson, E Jonasson, F Gislason, I Active prevention in diabetic eye disease. A 4-year follow-up |
topic_facet |
Adolescent Adult Age of Onset Aged Blindness Child Diabetes Mellitus Type 1 Diabetic Retinopathy Female Follow-Up Studies Humans Iceland Incidence Macular Edema Male Middle Aged Prevalence Prospective Studies Vision Screening Visual Acuity |
description |
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field Ten years after the foundation of a national diabetic eye screening program in 1980, we have established a low prevalence of blindness and partial sight in type 1 and type 2 diabetics in Iceland. We ask whether the screening program is also associated with a low incidence of blindness in diabetics. We now report the results of a prospective study on the 4-year incidence of diabetic retinopathy and visual impairment in type 1 diabetics with age at onset less than 30 years. Out of 205 patients participating at baseline, 175 patients (85.4%) participated over the full 4-year period. Patients were examined annually and received laser treatment according to Diabetic- and Early Treatment Diabetic Retinopathy Study criteria. The 4-year incidence of any retinopathy was 38.1%, of proliferative retinopathy 6.6%, and of macular edema 3.4%. Out of 174 patients, 7.4% showed improvement in visual acuity of 2 Snellen lines while 2.5% experienced worsening of visual acuity of 2 Snellen lines during the 4-year period. No diabetic suffered more than 2 lines deterioration of vision and none became legally blind. The incidence of retinopathy in Icelandic type 1 diabetics participating in our annual eye screening program is low and the visual acuity stable. Our results suggest that visual impairment in diabetics can be prevented with active regular screening and standard laser therapy. |
author2 |
Department of Ophthalmology, Landakotsspítali, University of Iceland, Reykjavík. |
format |
Article in Journal/Newspaper |
author |
Kristinsson, J K Hauksdottir, H Stefansson, E Jonasson, F Gislason, I |
author_facet |
Kristinsson, J K Hauksdottir, H Stefansson, E Jonasson, F Gislason, I |
author_sort |
Kristinsson, J K |
title |
Active prevention in diabetic eye disease. A 4-year follow-up |
title_short |
Active prevention in diabetic eye disease. A 4-year follow-up |
title_full |
Active prevention in diabetic eye disease. A 4-year follow-up |
title_fullStr |
Active prevention in diabetic eye disease. A 4-year follow-up |
title_full_unstemmed |
Active prevention in diabetic eye disease. A 4-year follow-up |
title_sort |
active prevention in diabetic eye disease. a 4-year follow-up |
publisher |
Blackwell |
publishDate |
2010 |
url |
http://hdl.handle.net/2336/112626 https://doi.org/10.1111/j.1600-0420.1997.tb00766.x |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://dx.doi.org/10.1111/j.1600-0420.1997.tb00766.x Acta Ophthalmol Scand. 1997, 75(3):249-54 1395-3907 9253967 doi:10.1111/j.1600-0420.1997.tb00766.x http://hdl.handle.net/2336/112626 Acta ophthalmologica Scandinavica |
op_doi |
https://doi.org/10.1111/j.1600-0420.1997.tb00766.x |
container_title |
Acta Ophthalmologica Scandinavica |
container_volume |
75 |
container_issue |
3 |
container_start_page |
249 |
op_container_end_page |
254 |
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1766038825161719808 |