Tamizaje en el diagnóstico y prevalencia de retinopatía diabética en atención primaria

• Trinidad Covarrubias ^[2] ; Iris Delgado ^[1] ; Daniel Rojas ^[2] ; Marcelo Coria ^[2]
  1. [1] Universidad del Desarrollo

     Universidad del Desarrollo

     Santiago, Chile

     
  2. [2] Servicio de Salud Metropolitano Sur Oriente Hospital Dr. Sótero del Río Servicio de Oftalmología
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 145, Nº. 5, 2017, págs. 564-571
• Idioma: español
• Títulos paralelos:
  • Coverage of a screening program and prevalence of diabetic retinopathy in primary careç
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• Resumen

  • Background: Diabetic retinopathy is the first cause of blindness during working years. Aim: Provide knowledge of screening coverage, prevalence and level of diabetic retinopathy in patients that belong to the Cardiovascular Health Program in primary care. Material and Methods: Analysis of retinographies performed to 9076 diabetic patients aged 61 ± 13 years (61% women) adscribed to a Cardiovascular Health program in primary care centers of South-East Metropolitan Santiago. The examination was carried out by the evaluation of retinographies by trained optometrists. Results: The coverage of the screening program was 21%. The prevalence of sight threatening diabetic retinopathy was 3,1%. The prevalence of these entities was 45% higher in people aged between 18 and 44 years than in older people. Their prevalence in urban communities was 32% higher than in rural locations. Conclusions: The coverage of the screening program is low. Diabetic patients aged 18 to 44 years and those coming from urban communities have a higher prevalence of severe non-proliferative and proliferative diabetic retinopathy.