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  How many times have you or your child had a retinal photograph as part of your diabetes eye care?  
      More than twice  
  29%     45  
  14%     21  
  15%     23  
  27%     41  
      I wasn't aware that a retinal photograph was part of diabetes eye care  
  8%     12  
      I don't know what a retinal photograph is  
  7%     11  

Total votes: 153

How many times have you or your child had a retinal photograph as part of your diabetes eye care?

Poll dates: April 28 - May 5, 2010
Total Votes: 153

Retinal photography, also known as fundus photography, is an important tool in the early detection of diabetic retinopathy. The good news is that most CWD families report having had a retinal photograph as part of their diabetes eye care.

While vision-threatening retinopathy virtually never appears in type 1 patients in the first 3-5 years of diabetes or before puberty, after 20 years duration of diabetes, historical data shows that a large number of patients with type 1 and more than 60% of patients with type 2 will have some degree of retinopathy. It's progression is orderly, from a few small "dot hemorrhages" to more extensive damage caused by the growth of new blood vessels on the retina to, at it's worst, total blindness. The good news is that if caught early, retinopathy can be treated and permanent vision loss prevented.

The best way to prevent diabetic eye disease is to maintain or improve blood glucose control. Both the DCCT and the UKPDS clearly demonstrated a definitive relationship between retinopathy and blood glucose control. The results of both studies showed that while intensive management does not completely prevent retinopathy, the risk for its development and progression can be significantly reduced.

The key to prevention of vision loss is early detection and treatment. For this reason, the following is recommended in the American Diabetes Association Clinical Practice Recommendations:

  1. Dilated exams by an eye care provider with experience in the management of diabetic retinopathy. In patients under age 11, this should be performed 5 years after onset, or at puberty (whichever is earlier), and annually thereafter. In patients with post-pubertal onset, a dilated eye exam should be performed at the time of diagnosis and annually thereafter. All pregnant women who have pre-existing diabetes should have a dilated exam done prior to conception and during the first trimester.

  2. The "gold standard" for screening retinopathy is fundus photography. This consists of seven 30-degree fields using stereoscopic techniques through dilated eyes Photography has the advantage over a simple dilated exam because it provides a hard copy, which can be compared with subsequent photographs thereby allowing for early detection of very slight changes. The photographs can be taken by a mobile unit with a camera and a technician and are later assessed by a trained eye care professional.

This table shows how people have responded to this poll over the past several years.

Answer   Apr 2010   Apr 2009   Apr 2008   Apr 2007   Apr 2006   Apr 2005   Apr 2004   Apr 2003   Mar 2002   Mar 2001
More than twice   29%   24%   16%   13%   15%   11%   8%   10%   9%   6%
Twice   14%   9%   8%   7%   5%   5%   4%   4%   3%   3%
Once   15%   17%   15%   19%   16%   20%   15%   12%   14%   11%
Never   27%   25%   34%   32%   35%   32%   37%   32%   32%   25%
Wasn't aware part of diabetes care   8%   6%   6%   10%   7%   7%   10%   10%   16%   14%
Don't know what it is   7%   17%   18%   16%   20%   22%   23%   28%   23%   39%

See also:

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Last Updated: Wednesday May 05, 2010 12:46:46
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