Diabetes Care
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Diabetes Care 29:178 2006
DOI: 10.2337/diacare.29.01.06.dc05-1736
© 2006 by the American Diabetes Association
This Article
Right arrow Extract Freely available
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Stefánsson, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Stefánsson, E.
Social Bookmarking
Add to CiteULike   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

Letters: Comments and Responses

The Case for Biennial Retinopathy Screening in Children and Adolescents

Response to Maguire et al.

Einar Stefánsson, MD, PHD

Department of Opthalmology, National University Hospital, University of Iceland, National University Hospital, Reykjavik, Iceland

Address correspondence to Einar Stefánsson, University of Iceland, National University Hospital, Opththalmology, 101 Reykjavik, Iceland. E-mail: einarste{at}landspitali.is

Maguire et al. (1) make the case for biennial retinopathy screening in children and adolescents. We made the same case in 1995 in an article in Acta Ophthalmologica (2). In the diabetes screening program that has been in place in Iceland since 1980, we found that no diabetic patients of any age progressed from no retinopathy to sight-threatening retinopathy (clinically significant diabetic macular edema or proliferative diabetic retinopathy) within 2 years. We concluded that biennial diabetic retinopathy screening was sufficient for diabetic patients who do not have retinopathy. We have followed these guidelines since 1995, and our program continues to maintain a low prevalence of blindness. The prevalence of legal blindness (visual acuity <0.1) in the diabetic population in Iceland has decreased from 2.5% in 1980 to 0.5% in 2005 (3–5). We completely agree with the conclusions of Maguire et al. and would like to offer our previous experience in support.

References

  1. Maguire A, Chan A, Cusumano J, Hing S, Craig M, Silink M, Howard N, Donaghue K: The case for biennial retinopathy screening in children and adolescents. Diabetes Care 28:509–513, 2005[Abstract/Free Full Text]
  2. Kristinsson JK, Gudmundsson JR, Stefánsson E, Jonasson F, Gislason I, Thorsson AV: Screening for diabetic retinopathy: initiation and frequency. Acta Ophthalmol Scand 73:525–528, 1995[Medline]
  3. Kristinsson JK: Diabetic retinopathy screening and prevention of blindness (Thesis). Acta Ophthalmol Scand 75(Suppl. 223):1–76, 1997
  4. Stefánsson E, Bek T, Porta M, Larsen N, Kristinsson JK, Agardh E: Screening and prevention of diabetic blindness. Acta Ophthalmol Scand 78:374–385, 2000[Medline]
  5. Zoega GM, Gunnarsdóttir Th, Bjornsdottir S, Hreidarsson AB, Viggosson G, Stefánsson E: Screening compliance and visual outcome in diabetes. Acta Ophthalmol Scand In press

Add to CiteULike CiteULike   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



This Article
Right arrow Extract Freely available
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Stefánsson, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Stefánsson, E.
Social Bookmarking
Add to CiteULike   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Diabetes Diabetes Care Clinical Diabetes Diabetes Spectrum