Diabetic Macular Edema in Diabetological Practices.

Abstract:

:Using mobile OCT equipment and remote ophthalmological diagnosis of n = 1538 diabetics in 17 diabetes practices in Germany, we found diabetic macular edema in 10.1% of the patients and retinal bleedings or microaneurysms in 15.6%. In 1.62% of the diabetics examined, the size of the edema was > 0.4 mm², in 7% the retinal thickness was > 300 µm and thus in need of treatment. An intravitreal anti-VEGF injection was administered prior to the examination in only 10% of the patients with diabetic macular edema. By means of mobile tele-eye consultation and remote ophthalmological diagnosis using the cloud-based patient file certified as medical device IIa, patients with diabetic macular edema were identified and informed on site quickly and definitively. The data and images were made available to all attending physicians and ophthalmic surgeons. :Mithilfe von mobilen OCT-Untersuchungsgeräten und augenärztlicher Fernbefundung von n = 1538 Diabetikern in 17 Diabetespraxen in Deutschland fanden wir bei 10,1% der Patienten ein diabetisches Makulaödem und bei 15,6% retinale Blutungen oder Mikroaneurysmen. Bei 1,62% der untersuchten Diabetiker war die Größe des Ödems > 0,4 mm², bei 7% war die Netzhautdicke > 300 µm und damit behandlungsbedürftig. Nur bei 10% der Patienten mit diabetischem Makulaödem erfolgte bis zur Untersuchung eine intravitreale Anti-VEGF-Injektion (VEGF: vascular endothelial growth factor). Mithilfe eines mobilen Teleaugenkonsils und augenärztlicher Fernbefundung durch Nutzung der als Medizinprodukt IIa zertifizierten, cloudbasierten Patientenakte konnten direkt vor Ort, schnell und definitiv Patienten mit diabetischem Makulaödem identifiziert und informiert werden. Die Daten und Bilder wurden allen behandelnden Ärzten und Ophthalmochirurgen zugänglich gemacht.

journal_name

Klin Monbl Augenheilkd

authors

Michelson G,Forst T

doi

10.1055/a-1194-5211

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

1320-1325

issue

11

eissn

0023-2165

issn

1439-3999

journal_volume

237

pub_type

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