scholarly journals Diagnosis of retinopathy in children younger than 12 years of age: implications for the diabetic eye screening guidelines in the UK

Eye ◽  
2016 ◽  
Vol 30 (7) ◽  
pp. 949-951 ◽  
Author(s):  
A Hamid ◽  
H M Wharton ◽  
A Mills ◽  
J M Gibson ◽  
M Clarke ◽  
...  
Keyword(s):  
Screening Guidelines ◽  
Eye Screening ◽  
Diabetic Eye Screening ◽  
The Uk

Training and accreditation for retinal screening and grading

2020 ◽  
pp. 139-144
Author(s):  
Karen Whitehouse
Keyword(s):  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Eye Screening ◽  
Current Requirement ◽  
Vocational Qualifications ◽  
Level 3 ◽  
Test Sets ◽  
Diabetic Eye Screening ◽  
The Uk ◽  
And Training

In all national screening programmes, staff training to confirm competency and accreditation to practice in their profession is required for patient safety. This chapter sets out an example of how the UK diabetic eye programme has evolved in this respect. The current National Vocational Qualifications (NVQ) level 3: Health screener: diabetic eye screening for personnel undertaking screening and grading, will be explained. In some programmes, slit lamp examination is now provided by graders, as well as ophthalmologists and optometrists. The current requirement is detailed. In addition, all grading staff should also participate in test and training of retinal image sets in order to confirm accuracy of grading. At least 10 test sets should be undertaken per annum.

The NHS diabetic eye screening programme

2019 ◽  
Vol 13 (12) ◽  
pp. 596-599
Author(s):  
Ian Peate
Keyword(s):  
Healthy Lifestyle ◽  
False Negative ◽  
Young Person ◽  
Screening Process ◽  
Negative Results ◽  
Eye Screening ◽  
Increased Risk ◽  
Diabetic Eye Screening ◽  
The Individual ◽  
The Uk

The NHS diabetic eye screening (DES) programme is one of the young person and adult NHS population screening programmes that are available in the UK. The various NHS screening programmes identify those people who appear healthy, but could be at increased risk of a disease or condition. Screening is not the same as diagnosis and there will always be a possibility of some false positive and false negative results. This article in the series provides the reader with details about the DES programme. A brief overview of the anatomy of the eye is provided and the screening process is described. The healthcare assistant and assistant practitioner (HCA and AP) have a key role to play in encouraging and emphasising the importance of screening, as well as helping the individual maintain a healthy lifestyle.

The principles of a national diabetic eye screening programme

2020 ◽  
pp. 111-122
Author(s):  
Paul Galsworthy
Keyword(s):  
Public Health ◽  
Young Person ◽  
Population Based ◽  
National Standards ◽  
Evidence Based ◽  
Independent Evidence ◽  
Eye Screening ◽  
Increased Risk ◽  
Diabetic Eye Screening ◽  
The Uk

Screening identifies apparently healthy people who may be at increased risk of a disease or condition, enabling earlier treatment or better-informed decisions. The NHS diabetic eye screening (DES) programme is one of the young person and adult NHS population screening programmes in the UK. The UK National Screening Committee (UK NSC), which makes independent, evidence-based recommendations to ministers in the four UK nations about the 11 population-based screening programmes. Public Health England (PHE)—Screening Quality Assurance Service (SQAS) ensures programmes are safe and effective by ensuring national standards are met.

How to grade

2020 ◽  
pp. 101-110
Author(s):  
Karen Whitehouse
Keyword(s):  
Best Practice ◽  
Image Manipulation ◽  
Step Method ◽  
High Quality ◽  
Minimum Standards ◽  
Eye Screening ◽  
Diabetic Eye Screening ◽  
The Uk ◽  
And Training ◽  
Attention To Detail

This chapter will provide guidance on best practice. A good grader should have the ability to work autonomously and have keen attention to detail; the grading environment should be quiet with appropriate lighting, and grading undertaken on high quality computer equipment and screens. All graders will adopt their own methodology for grading and use a step-by-step method, which may also use image manipulation. For accuracy and consistency, graders should adhere to minimum standards and numbers of grades as required by the NHS diabetic eye screening programme (NHSDESP). In the UK, graders should be adequately trained and participate in monthly test and training sets.

scholarly journals Perceived barriers and enablers to the provision of diabetic retinopathy screening for young adults: a cross-sectional survey of healthcare professionals working in the UK National Diabetic Eye Screening Programme

2021 ◽  
Vol 9 (2) ◽  
pp. e002436
Author(s):  
Louise Prothero ◽  
Fabianna Lorencatto ◽  
Martin Cartwright ◽  
Jennifer M Burr ◽  
Philip Gardner ◽  
...  
Keyword(s):  
Young Adults ◽  
Screening Programme ◽  
Perceived Barriers ◽  
Self Management ◽  
Screening Uptake ◽  
Diabetic Retinopathy Screening ◽  
Eye Screening ◽  
Diabetic Eye Screening ◽  
The Uk ◽  
Retinopathy Screening

IntroductionDiabetic retinopathy screening (DRS) attendance in young adults is consistently below recommended levels. The aim of this study was to conduct a survey of screening providers in the UK Diabetic Eye Screening Programme (DESP) to identify perceived barriers and enablers to DRS attendance in young adults and elicit views on the effectiveness of strategies to improve screening uptake in this population.Research design and methodsMembers of the British Association of Retinal Screening (n=580) were invited to complete an anonymous online survey in July 2020 assessing agreement with 37 belief statements, informed by the Theoretical Domains Framework (TDF) of behavior change, describing potential barrier/enablers to delivering DRS for young adults and further survey items exploring effectiveness of strategies to improve uptake of DRS.ResultsIn total, 140 (24%) responses were received mostly from screener/graders (67.1%). There was a high level of agreement that the DESP had a role in improving attendance in young adults (96.4%) and that more could be done to improve attendance (90.0%). The most commonly reported barriers related to TDF domains Social influences and Environmental context and resources including lack of integration of DRS with other processes of diabetes care, which limited the ability to discuss diabetes self-management. Other barriers included access to screening services and difficulties with scheduling appointments. Less than half (46.4%) of respondents reported having a dedicated strategy to improve screening uptake in young adults. Strategies perceived to be effective included: screening within the community; prompts/reminders and integrating eye screening with other diabetes services.ConclusionsScreening providers were concerned about screening uptake in young adults, although many programs lacked a dedicated strategy to improve attendance. Problems associated with a lack of integration between DRS with other diabetes care processes were identified as a major barrier to providing holistic care to young adults and supporting diabetes self-management.

The screening episode: visual acuity, mydriasis, and digital photography

2020 ◽  
pp. 89-100
Author(s):  
David K. Roy ◽  
Prashant Amrelia
Keyword(s):  
Visual Acuity ◽  
Diabetic Retinopathy ◽  
Chronic Disease ◽  
Image Quality ◽  
Early Detection ◽  
Subsequent Treatment ◽  
Diabetic Patients ◽  
Eye Screening ◽  
Diabetic Eye Screening ◽  
Acceptable Image Quality

Early eye screening detection and treatment is fundamental in managing significant complications of chronic disease, both for improving diabetic retinopathy (DR) clinical outcomes and improving the economic burdens. Early detection and subsequent treatment can substantially reduce the risk of blindness from DR. This chapter will review the screening episode, measuring visual acuity, drop instillation, contraindications, and correct camera operation. It will review problems associated with incorrect camera operation and the NHS Diabetic Eye Screening Programme (NHSDESP) standards of acceptable image quality. This will guide the screener in obtaining clear, well-centred, gradable digital images of the retina in diabetic patients with vision better than no perception of light in both eyes, as well as providing a greater understanding of issues associated with screening.

scholarly journals Risk stratification for diabetic eye screening

Diabetologia ◽  
2013 ◽  
Vol 57 (1) ◽  
pp. 259-259 ◽  
Author(s):  
Irene M. Stratton ◽  
Steve J. Aldington
Keyword(s):  
Risk Stratification ◽  
Eye Screening ◽  
Diabetic Eye Screening

Diabetic eye screening with variable screening intervals based on individual risk factors is safe and effective in ophthalmic practice

2020 ◽  
Vol 98 (4) ◽  
pp. 343-346 ◽  
Author(s):  
Svein Estil ◽  
Ægir Þór Steinarsson ◽  
Stefan Einarsson ◽  
Thor Aspelund ◽  
Einar Stefánsson
Keyword(s):  
Risk Factors ◽  
Individual Risk ◽  
Variable Screening ◽  
Eye Screening ◽  
Screening Intervals ◽  
Diabetic Eye Screening ◽  
Individual Risk Factors

scholarly journals Factors influencing patient adherence with diabetic eye screening in rural communities: A qualitative study

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0206742 ◽  
Author(s):  
Yao Liu ◽  
Nicholas J. Zupan ◽  
Olayinka O. Shiyanbola ◽  
Rebecca Swearingen ◽  
Julia N. Carlson ◽  
...  
Keyword(s):  
Rural Communities ◽  
Qualitative Study ◽  
Patient Adherence ◽  
Factors Influencing ◽  
Eye Screening ◽  
Diabetic Eye Screening

scholarly journals Can Commercially Available Handheld Retinal Cameras Effectively Screen Diabetic Retinopathy?

2016 ◽  
Vol 11 (1) ◽  
pp. 135-137 ◽  
Author(s):  
Jorge Cuadros ◽  
George Bresnick
Keyword(s):  
Clinical Trials ◽  
Diabetic Retinopathy ◽  
Screening Programme ◽  
Low Cost ◽  
Clinical Results ◽  
Diabetic Retinopathy Screening ◽  
The United Kingdom ◽  
Eye Screening ◽  
Diabetic Eye Screening ◽  
Retinopathy Screening

Organizations that care for people with diabetes have increasingly adopted telemedicine-based diabetic retinopathy screening (TMDRS) as a way to increase adherence to recommended retinal exams. Recently, handheld retinal cameras have emerged as a low-cost, lightweight alternative to traditional bulky tabletop retinal cameras. Few published clinical trials have been performed on handheld retinal cameras. Peer-reviewed articles about commercially available handheld retinal cameras have concluded that they are a usable alternative for TMDRS, however, the clinical results presented in these articles do not meet criteria published by the United Kingdom Diabetic Eye Screening Programme and the American Academy of Ophthalmology. The future will likely remedy the shortcomings of currently available handheld retinal cameras, and will create more opportunities for preventing diabetic blindness.

Sign in / Sign up

Export Citation Format

Share Document