First Author: S.Natarajan INDIA
Co Author(s): D. Gupta P. Kulkarni P. Valvekar J. Garg R. Krishnan 0 0 0 0 0 0 0 0 0
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To evaluate the efficacy of an indigenous portable fundus camera in screening the diabetics in the slum population of Mumbai for Diabetic retinopathy and to increase the access of retinal imaging in outreach programs.
Study design -Cross sectional Study period – 2 months Sample size- 269 known type 2 diabetic patients. Source of patients- Known Type 2 diabetic patients from the slum areas of Mumbai
269 known type 2 diabetic patients from the slum areas of Mumbai were screened by trained health worker through a portable non mydriatic fundus camera. 3nethra classic fundus camera an indigenous product by the Forus Health Pvt. Ltd. (Forus) with telemedicine capability and inbuilt systems,which allowed the results to be verified remotely was used.Data from the field was analyzed by retina specialist for diagnosis & grading of diabetic retinopathy. Patients who required treatment were called to the base hospital for further evaluation and management.
A non-mydriatic& non invasive fundus camera is a practical instrument to be used in public health clinics, out-reach medical camps, industrial camps and mobile units.Out of a total of 269 known diabetic population, 74 were found to have diabetic retinopathy changes which was confirmed by Indirect Ophthalmoscopy.Around 1.1.%(3) had sight threatening diabetic retinopathy requiring treatment.
The combination of low cost, portability, and high image quality of an accessible fundus camera provides a foundational platform to screen for diabetic retinopathy. This high throughput screening directly results in mass diagnosis of diabetic retinopathy and help treating.