• Users Online: 204
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2022  |  Volume : 4  |  Issue : 1  |  Page : 14

Screening strategy in ocular diabetes with automatic detection system in the Chilean public health system


1 Director of the Ophthalmology Unit of the Digital Hospital, Chilean Ministry of Health; President of the Chilean Society of Ophthalmology; Ophthalmology Service of the regional clinical hospital of Concepción Chile; Committee for the prevention of blindness of the Pan American Association of Ophthalmology
2 Director of the Ophthalmology Unit of the Digital Hospital, Chilean Ministry of Health; Ophthalmology Service of the Pasteur Clinic
3 Project Manager, Department of Digital Health, Chilean Ministry of Health
4 Head of Digital Unit, Department of Digital Health Undersecretary of Assistance Networks, Chilean Ministry of Health

Correspondence Address:
Dr. Fernando Barría von-Bischhosffshausen
Calle San Martín 1350 Concepción, Santiago

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/pajo.pajo_117_21

Rights and Permissions

Summary: Diabetic retinopathy (DR) is the leading cause of blindness among working-age persons in high-income countries. A public system strategy was developed to improve screening, using telemedicine, automatic detection using artificial intelligence (A/I) and medical reporting. In the current work, we evaluated program efficiency. Material: We conducted a cross-sectional study using information from an institutional database of retinographies submitted to the A/I platform in 2019. With a positive test, a medical report was made using the international scale. Results: In 2019, 220,994 retinographies were reported, corresponding to 24.0% of diabetic patients. Around half (53.0%) of cases were discarded by A/I, being different in each regional health service. The medical analysis discarded diabetic retinopathy in 30.2% of exams, 11.5% had diabetic retinopathy, including 2.3% with risk of blindness, while 3.7% could not be evaluated. Discussion: The use of A/I allowed optimizing the medical resources, discarded 53% of cases, which helped in the screening of diabetic retinopathy. Coverage is still insufficient, and detection of macular edema must be improved.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed554    
    Printed20    
    Emailed0    
    PDF Downloaded38    
    Comments [Add]    

Recommend this journal