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...

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Published in:Acta Ophthalmologica Scandinavica
Main Authors: Kristinsson, J K, Hauksdottir, H, Stefansson, E, Jonasson, F, Gislason, I
Other Authors: Department of Ophthalmology, Landakotsspítali, University of Iceland, Reykjavík.
Format: Article in Journal/Newspaper
Language:English
Published: Blackwell 2010
Subjects:
Online Access:http://hdl.handle.net/2336/112626
https://doi.org/10.1111/j.1600-0420.1997.tb00766.x
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spelling 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
institution Open Polar
collection 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
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container_title Acta Ophthalmologica Scandinavica
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