1. OCT, should this link to a DRS Programme?
Dr John Olson

2. Retinal screening
Everyone with diabetes invited for annual photographic screening.
Photographs graded.
Referred to ophthalmologist if there are signs of potentially sight threatening disease.

3. Scotland June 2009

4. Scotland June 2009

5. Methods Anonymised photographs and grading results
Screening centres: NHS Fife and NHS Glasgow
Date range: 01/01/2007 – 31/01/2008
Images: 85,884
Episodes: 36,063
Patients: 33,535
Fife: 10412
Glasgow: 25657

6. Outcomes Grade Number % Automated Confidence Int RO 21,503 64.1% 49.6 R1
7,964
23.7%
83.9 R2
193
0.6%
99.2 M1
387
1.2%
100 M2
1,130
3.4%
97.3 R3
324
1.0% R4
180
0.5% TF
1,827
5.4%
99.8

7. Ophthalmologists don’t like
Technical Failures
5.4% (1,827) M2
3.4% (1130)

8. Retinal photography
Photographs taken using a non-mydriatic digital colour fundus camera (opposite).
Give no depth indication; cannot detect oedema directly.
Oedema inferred by presence of surrogate features, such as exudates and blot haemorrhages.
Which of the following are referable? Which have clinically significant macular oedema…

15. Project website: http://www.abdn.ac.uk/mos/
Improving the value of screening for diabetic macular oedema using surrogate photographic markers.
Project website:
HTA 06/402/49

16. Study centres Study centres Aberdeen Birmingham Dundee Edinburgh
Glasgow
Liverpool
Oxford
Aberdeen
Dundee
Glasgow
Edinburgh
Liverpool
Birmingham
Oxford
© 2008 Google-Imagery © 2008 TerraMetrics

18. Impact on Ophthalmology

19. OCT, should this link to a DRS Programme?