Photography of the peripheral retina: Assessment of its value in screening for diabetic retinopathy

✍ Scribed by Smith, S A ;Shilling, J S ;Sonksen, P H

• Publisher: John Wiley and Sons
• Year: 1992
• Tongue: English
• Weight: 297 KB
• Volume: 9
• Category: Article
• ISSN: 1357-8170
• DOI: 10.1002/pdi.1960090605

✦ Synopsis

Abstract

The diagnostic value of peripheral retinal photography in screening for retinopathy was assessed in 100 eyes from 95 diabetic patients following pharmacological mydriasis. Polaroid prints of the central 45° field and of 4 peripheral fields were assessed by a consultant ophthalmologist. There were 45 eyes judged to have no retinopathy centrally. Of the 55 eyes with retinopathy, 21 were referred: 3 for pre‐proliferative retinopathy and 18 for maculopathy. The 4 Polaroids of the peripheral retina were assessed at a second reviewing session. There was significant agreement in diagnosing the presence or absence of retinopathy from the central versus the peripheral review. No proliferative retinopathy was identified from any of the photographs. There were 7 eyes judged to have clear central fields in which the peripheral photographs revealed retinopathy, though none of these required referral. It is concluded that additional peripheral photographs are not essential for routine screening.