Limitations of non-mydriatic retinography as a screening tool of diabetic retinopathy: a scoping review
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25758/set.2277 |
Resumo: | Introduction – Diabetic retinopathy is one of the main microvascular complications of diabetes and it is the leading cause of preventable blindness in working-age adults in developed countries. With a long asymptomatic period, early diagnosis allows avoiding aggressive, repeated, and expensive therapies. The annual examination for early detection of diabetic retinopathy, using non-mydriatic retinography, is accepted as a gold standard method, however, this method has some weaknesses. Aim of the study – To describe the existing scientific evidence of the limitations of the isolated use of non-mydriatic retinography as a screeningtool of diabetic retinopathy. Methods – Descriptive study of scoping review based on Joanna Briggs Institute methodology. PubMed and Web of Science databases were used to search for scientific articles. The following inclusion criteria were used: articles with a population of diabetic subjects who underwent screening for diabetic retinopathy through non-mydriatic retinography; articles written in English or Portuguese and published between January 2000 and June 2020. Results – After the data screening, six references were included based on inclusion criteria. The rate of unclassifiable images is the major limitation of this method. A positive correlation was found between increasing age and non-gradable images, most of the time due to opacities of theoptical media, smaller pupil diameter, and presence of other pathologies. Several studies have also reported that retinography has limited ability to detect diabetic macular edema. Conclusions – New technologies and new methods of retinal imaging can potentially be adopted by screening programs, in the future, in order to provide solutions for the most effective and efficientdetection of diabetic retinopathy and diabetic macular edema, reducing the percentage of patients with unclassifiable images. |
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Limitations of non-mydriatic retinography as a screening tool of diabetic retinopathy: a scoping reviewLimitações do uso da retinografia não midriática como método de rastreio da retinopatia diabética: uma scoping reviewRetinopatia diabéticaRastreioRetinografia não midriáticaImagem da retinaLimitaçõesDiabetic retinopathyScreeningNon-mydriatic retinographyRetinal imagingLimitationsIntroduction – Diabetic retinopathy is one of the main microvascular complications of diabetes and it is the leading cause of preventable blindness in working-age adults in developed countries. With a long asymptomatic period, early diagnosis allows avoiding aggressive, repeated, and expensive therapies. The annual examination for early detection of diabetic retinopathy, using non-mydriatic retinography, is accepted as a gold standard method, however, this method has some weaknesses. Aim of the study – To describe the existing scientific evidence of the limitations of the isolated use of non-mydriatic retinography as a screeningtool of diabetic retinopathy. Methods – Descriptive study of scoping review based on Joanna Briggs Institute methodology. PubMed and Web of Science databases were used to search for scientific articles. The following inclusion criteria were used: articles with a population of diabetic subjects who underwent screening for diabetic retinopathy through non-mydriatic retinography; articles written in English or Portuguese and published between January 2000 and June 2020. Results – After the data screening, six references were included based on inclusion criteria. The rate of unclassifiable images is the major limitation of this method. A positive correlation was found between increasing age and non-gradable images, most of the time due to opacities of theoptical media, smaller pupil diameter, and presence of other pathologies. Several studies have also reported that retinography has limited ability to detect diabetic macular edema. Conclusions – New technologies and new methods of retinal imaging can potentially be adopted by screening programs, in the future, in order to provide solutions for the most effective and efficientdetection of diabetic retinopathy and diabetic macular edema, reducing the percentage of patients with unclassifiable images.Introdução – A retinopatia diabética é uma das principais complicações microvasculares da diabetes e é a principal causa de cegueira evitável na população ativa nos países desenvolvidos. Com um longo período assintomático, o diagnóstico precoce permite que se evitem terapêuticas agressivas, repetidas e dispendiosas. No entanto, a realização anual de exames ao polo posterior para deteção precoce da retinopatia diabética através de câmaras não midriáticas, apesar de ser o método gold standard, apresenta algumas fragilidades. Objetivo – Descrever a evidência científica existente relativa às limitações do uso isolado da retinografia não midriática como método de rastreio da retinopatia diabética. Métodos – Estudo descritivo de scoping review baseado na metodologia do Joanna Briggs Institute. Para a pesquisa de artigos científicos utilizaram-se as bases de dados PubMed e Web of Science. Foram definidos como critérios de inclusão artigos com uma população constituída por diabéticos que realizaram rastreio da retinopatia diabética através de retinografia não midriática; e artigos redigidos nos idiomas inglês ou português e publicados entre janeiro de 2000 e junho de 2020. Resultados – Selecionaram-se seis artigos para elaborar o presente estudo, tendo em conta os critérios de elegibilidade. A taxa de imagens não classificáveis é a grande limitação deste método. Foi encontrada uma correlaçãopositiva entre o aumento da idade e imagens não classificáveis na maioria das vezes devido a opacidades dos meios óticos, ao menor diâmetro pupilar e à presença de outras patologias. Vários estudos reportaram ainda que a retinografia tem capacidade limitada na deteção do edema macular diabético. Conclusões – Novas tecnologias e novos métodos de processamento deimagem da retina podem potencialmente no futuro ser adotados pelos programas de rastreio, de modo a fornecer soluções para a deteção mais eficaz e eficiente da retinopatia diabética e do edema macular diabético reduzindo a percentagem de doentes com retinografias não classificáveis.Escola Superior de Tecnologia da Saúde de Lisboa (Instituto Politécnico de Lisboa)2021-05-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.25758/set.2277oai:journals.ipl.pt:article/483Saúde e Tecnologia; No. 25 (2021): Maio 2021; 10-17Saúde & Tecnologia; N.º 25 (2021): Maio 2021; 10-171646-9704reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://journals.ipl.pt/stecnologia/article/view/483https://doi.org/10.25758/set.2277https://journals.ipl.pt/stecnologia/article/view/483/392Palma, FilipaCamacho, Pedroinfo:eu-repo/semantics/openAccess2022-12-20T10:58:34Zoai:journals.ipl.pt:article/483Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:21:19.946626Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Limitations of non-mydriatic retinography as a screening tool of diabetic retinopathy: a scoping review Limitações do uso da retinografia não midriática como método de rastreio da retinopatia diabética: uma scoping review |
title |
Limitations of non-mydriatic retinography as a screening tool of diabetic retinopathy: a scoping review |
spellingShingle |
Limitations of non-mydriatic retinography as a screening tool of diabetic retinopathy: a scoping review Palma, Filipa Retinopatia diabética Rastreio Retinografia não midriática Imagem da retina Limitações Diabetic retinopathy Screening Non-mydriatic retinography Retinal imaging Limitations |
title_short |
Limitations of non-mydriatic retinography as a screening tool of diabetic retinopathy: a scoping review |
title_full |
Limitations of non-mydriatic retinography as a screening tool of diabetic retinopathy: a scoping review |
title_fullStr |
Limitations of non-mydriatic retinography as a screening tool of diabetic retinopathy: a scoping review |
title_full_unstemmed |
Limitations of non-mydriatic retinography as a screening tool of diabetic retinopathy: a scoping review |
title_sort |
Limitations of non-mydriatic retinography as a screening tool of diabetic retinopathy: a scoping review |
author |
Palma, Filipa |
author_facet |
Palma, Filipa Camacho, Pedro |
author_role |
author |
author2 |
Camacho, Pedro |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Palma, Filipa Camacho, Pedro |
dc.subject.por.fl_str_mv |
Retinopatia diabética Rastreio Retinografia não midriática Imagem da retina Limitações Diabetic retinopathy Screening Non-mydriatic retinography Retinal imaging Limitations |
topic |
Retinopatia diabética Rastreio Retinografia não midriática Imagem da retina Limitações Diabetic retinopathy Screening Non-mydriatic retinography Retinal imaging Limitations |
description |
Introduction – Diabetic retinopathy is one of the main microvascular complications of diabetes and it is the leading cause of preventable blindness in working-age adults in developed countries. With a long asymptomatic period, early diagnosis allows avoiding aggressive, repeated, and expensive therapies. The annual examination for early detection of diabetic retinopathy, using non-mydriatic retinography, is accepted as a gold standard method, however, this method has some weaknesses. Aim of the study – To describe the existing scientific evidence of the limitations of the isolated use of non-mydriatic retinography as a screeningtool of diabetic retinopathy. Methods – Descriptive study of scoping review based on Joanna Briggs Institute methodology. PubMed and Web of Science databases were used to search for scientific articles. The following inclusion criteria were used: articles with a population of diabetic subjects who underwent screening for diabetic retinopathy through non-mydriatic retinography; articles written in English or Portuguese and published between January 2000 and June 2020. Results – After the data screening, six references were included based on inclusion criteria. The rate of unclassifiable images is the major limitation of this method. A positive correlation was found between increasing age and non-gradable images, most of the time due to opacities of theoptical media, smaller pupil diameter, and presence of other pathologies. Several studies have also reported that retinography has limited ability to detect diabetic macular edema. Conclusions – New technologies and new methods of retinal imaging can potentially be adopted by screening programs, in the future, in order to provide solutions for the most effective and efficientdetection of diabetic retinopathy and diabetic macular edema, reducing the percentage of patients with unclassifiable images. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25758/set.2277 oai:journals.ipl.pt:article/483 |
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https://doi.org/10.25758/set.2277 |
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oai:journals.ipl.pt:article/483 |
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por |
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https://journals.ipl.pt/stecnologia/article/view/483 https://doi.org/10.25758/set.2277 https://journals.ipl.pt/stecnologia/article/view/483/392 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Escola Superior de Tecnologia da Saúde de Lisboa (Instituto Politécnico de Lisboa) |
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Escola Superior de Tecnologia da Saúde de Lisboa (Instituto Politécnico de Lisboa) |
dc.source.none.fl_str_mv |
Saúde e Tecnologia; No. 25 (2021): Maio 2021; 10-17 Saúde & Tecnologia; N.º 25 (2021): Maio 2021; 10-17 1646-9704 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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