title: [Update of diabetic retinopathy for Primary Care physicians: Towards an improvement of telematic medicine].
abstract: Diabetic retinopathy (DR) is considered the most common cause of blindness in the working-age population in industrialised countries, with diabetic macular oedema being the most common reason of decreased visual acuity in diabetics. According to the results of large multicentre studies, blindness prevention for RD involves conducting periodic check-ups, which include examinations of the back of the eye, so they can be treated in time. The use of non-mydriatic cameras and telemedicine have been shown to be useful in this regard (sensitivity>80% and specificity>90%). If this procedure is followed, the first retinography should be performed 5 years from diagnosis in type 1 diabetics and immediately after diagnosis in type 2 diabetics. Therefore the role of the Primary Care physician is crucial to enable early diagnosis of this disease.
authors.affiliation: Unidad de Gestión Clínica de Oftalmología, Empresa pública sanitaria, Hospital de Poniente, El Ejido, Almería, España. Electronic address: jemder78@hotmail.com.
authors.forename: J E
authors.initials: JE
authors.lastname: Muñoz de Escalona-Rojas
authors.affiliation: Unidad de Gestión Clínica de Oftalmología, Empresa pública sanitaria, Hospital de Poniente, El Ejido, Almería, España.
authors.forename: A
authors.initials: A
authors.lastname: Quereda-Castañeda
authors.affiliation: Unidad de Gestión Clínica de Oftalmología, Empresa pública sanitaria, Hospital de Poniente, El Ejido, Almería, España.
authors.forename: O
authors.initials: O
authors.lastname: García-García
mesh_terms: D001766:Blindness / Q000209:etiology / Q000517:prevention & control; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003930:Diabetic Retinopathy / Q000175:diagnosis / Q000628:therapy*; D042241:Early Diagnosis; D006801:Humans; D008269:Macular Edema / Q000175:diagnosis / Q000209:etiology; D008403:Mass Screening / Q000379:methods; D010819:Physician's Role; D058007:Physicians, Primary Care / Q000458:organization & administration; D011320:Primary Health Care / Q000379:methods*; D012680:Sensitivity and Specificity; D017216:Telemedicine / Q000379:methods*
keywords: Diabetic retinopathy; Edema macular; Macular oedema; Prevención y control; Prevention and control; Retinopatía diabética; Telemedicina; Telemedicine