title: Ophthalmoscopy versus non-mydriatic fundus photography in the detection of diabetic retinopathy in black patients.
abstract: The contribution of non-mydriatic fundus photography in the detection of diabetic retinopathy before and after dilatation of the pupils in black diabetics was investigated and compared with direct ophthalmoscopy. Eighty-six patients were examined and good-quality photographs were obtained for 54.7% of eyes before and 86.6% of eyes after dilatation. Photographically documented retinopathy was detected by ophthalmoscopy in only 64.7% of eyes. The two methods were concordant for the presence of retinopathy in 62.2% of eyes before and 56.9% of eyes after dilatation. Photography through dilated pupils also improved the rate of detection of diabetic retinopathy from 24% to 30%. The 45 degrees non-mydriatic fundus camera was found to be a valuable adjunct in the detection of diabetic retinopathy in a busy diabetic clinic.
authors.affiliation: Department of Internal Medicine, University of the Orange Free State, Bloemfontein.
authors.forename: W F
authors.initials: WF
authors.lastname: Mollentze
authors.forename: A A
authors.initials: AA
authors.lastname: Stulting
authors.forename: A F
authors.initials: AF
authors.lastname: Steyn
mesh_terms: D000293:Adolescent; D000328:Adult; D044383:Black People; D002648:Child; D002675:Child, Preschool; D003930:Diabetic Retinopathy / Q000175:diagnosis*; D005069:Evaluation Studies as Topic; D005654:Fundus Oculi; D006801:Humans; D009887:Ophthalmoscopy; D010781:Photography / Q000379:methods