1. Improving the cost-effectiveness of photographic screening for diabetic macular oedema: a prospective, multi-centre, UK study

    Improving the cost-effectiveness of photographic screening for diabetic macular oedema: a prospective, multi-centre, UK study

    Background/aims Retinal screening programmes in England and Scotland have similar photographic grading schemes for background (non-proliferative) and proliferative diabetic retinopathy, but diverge over maculopathy. We looked for the most cost-effective method of identifying diabetic macular oedema from retinal photographs including the role of automated grading and optical coherence tomography, a technology that directly visualises oedema. Methods Patients from seven UK centres were recruited. The following features in at least one eye were required for enrolment: microaneurysms/dot haemorrhages or blot haemorrhages within one disc diameter, or exudates within one or two disc diameters of the centre of the macula ...

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