| | |
Image evaluation
|
Optometrist consideration on further management
|
|---|
|
Imagea
|
Patient status
|
Ophthalmologists grading of DR
|
Optometrists true findings of DR
|
No/Routine follow-up
|
Report / referral to general practitioner
|
Report / referral to ophthalmologist
|
|---|
| | | |
n
|
% (95%CI)
|
n
|
% (95%CI)
|
n
|
% (95%CI)
|
n
|
% (95%CI)
|
|
8
|
IGT
|
No DR
|
46
|
64 (52 to 75)
|
17
|
37 (23 to 51)
|
21
|
46 (31 to 60)
|
8
|
17 (6 to 28)
|
|
5
|
KDM
|
No DR
|
53
|
72 (61 to 82)
|
30
|
37 (43 to 70)
|
10
|
19 (8 to 29)
|
13
|
25 (13 to 36)
|
|
14
|
SDDM
|
No DR
|
61
|
82 (74 to 91)
|
31
|
51 (38 to 63)
|
18
|
30 (18 to 41)
|
12
|
20 (10 to 30)
|
|
13
|
SDDM
|
No DR
|
64
|
86 (79 to 94)
|
33
|
52 (39 to 64)
|
10
|
16 (7 to 25)
|
21
|
33 (21 to 44)
|
|
12
|
SDDM
|
No DR
|
68
|
92 (86 to 98)
|
58
|
85 (77 to 94)
|
4
|
6 (0 to 11)
|
6
|
9 (2 to 16)
|
|
11
|
KDM
|
No DR
|
71
|
96 (91 to 100)
|
61
|
86 (78 to 94)
|
2
|
3 (0 to 7)
|
8
|
11 (4 to 19)
|
|
2
|
NGT
|
No DR
|
73
|
99 (96 to 100)
|
66
|
90 (84 to 97)
|
4
|
5 (0 to 11)
|
3
|
4 (0 to 9)
|
|
1
|
NGT
|
Mild NPDR
|
23
|
31 (20 to 42)
|
1
|
4 (0 to 13)
|
8
|
35 (15 to 54)
|
14
|
61 (41 to 81)
|
|
6
|
IGT
|
Mild NPDR
|
39
|
53 (41 to 64))
|
1
|
3 (0 to 8)
|
10
|
26 (12 to 39)
|
28
|
72 (58 to 86)
|
|
3
|
NGT
|
Mild NPDR
|
40
|
54 (42 to 66)
|
0
|
0 (0 to 0)
|
19
|
48 (32 to 63)
|
21
|
53 (37 to 68)
|
|
7
|
DM
|
Mild NPDR
|
41
|
55 (44 to 67)
|
1
|
2 (0 to 7)
|
15
|
37 (22 to 51)
|
25
|
61 (46 to 76)
|
|
4
|
DM
|
Mild NPDR
|
57
|
77 (67 to 87)
|
2
|
4 (0 to 8)
|
20
|
35 (23 to 47)
|
35
|
61 (49 to 74)
|
|
9b
|
DM
|
Moderate NPDR
|
71
|
100 (100 to 100)
|
0
|
0 (0 to 0)
|
4
|
6 (0 to 11)
|
67
|
94 (89 to100)
|
|
10c
|
DM
|
Moderate NPDR
|
73
|
100 (100 to 100)
|
0
|
0 (0 to 0)
|
8
|
11 (4 to 18)
|
65
|
89 (82 to 96)
|
- CI, confidence interval; DR, diabetic retinopathy; IGT, impaired glucose tolerance; KDM, known diabetes; NGT, normal glucose tolerance; NPDR, non-proliferative diabetic retinopathy; SDDM, screen-detected diabetes; VIMOC, Visual Identification and Management of Ophthalmological Conditions.a The number refers to the number in image presentation sequence of the VIMOC examinationMissing grading data from b3 and c1 optometrists.
