Abstract
The National Diabetic Retinopathy Laser Treatment Audit is a prospective survey of laser treatment for diabetic retinopathy throughout the United Kingdom. This paper presents data on 284 patients who were undergoing their first panretinal photocoagulation for proliferative retinopathy during a 2 month period in 1995, describing the demographic features, the level of systematic screening, the sources of referral, and the waiting times. For those cases where proliferative retinopathy was present at the first ophthalmology outpatient visit, the retinopathy was detected as a result of systematic screening in 46.8%, whilst 28.7% presented symptomatically. Of these patients 28.4% waited for more than 12 weeks from referral to the time of laser treatment, but once the patient had been listed for laser treatment this was performed within 8 weeks in 95.3%. The retinopathy features and the type of treatment given are also described. Compared with the DRS and ETDRS recommendations, at least 32.5–40.2% of eyes may be undertreated initially, and for those with high-risk characteristics these figures were at least 30.8–38.5%.
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British Multicentre Photocoagulation Trial. Proliferative diabetic retinopathy: treatment with xenon-arc photocoagulation. Interim report of multicentre randomised controlled trial. BMJ 1977;I:739–41.
Diabetic Retinopathy Study Research Group. Photocoagulation treatment of proliferative diabetic retinopathy. Clinical application of diabetic retinopathy study findings: DRS report no. 8. Ophthalmology 1981;88:583–600.
Hercules BL, Gayed II, Lucas SB, Jeacock J . Peripheral retinal ablation in the treatment of proliferative diabetic retinopathy: a three-year interim report of a randomised, controlled study using the argon laser. Br J Ophthalmol 1977;61:555–63.
Early Treatment Diabetic Retinopathy Study Research Group. Early photocoagulation for diabetic retinopathy: ETDRS report no. 9. Ophthalmology 1991;98:766–85.
Evans J, Rooney C, Ashwood F, Dattani N, Wormald R . Blindness and partial sight in England and Wales: April 1990-March 1991. Health Trends 1996;28:5–12.
Ghafour IM, Allan D, Foulds WS . Common causes of blindness and visual handicap in the west of Scotland. Br J Ophthalmol 1983;67:209–13.
Klein R, Klein BEK, Moss SE . Visual impairment in diabetes. Ophthalmology 1984;91:1–9.
Moss SE, Klein R, Klein BE . Ten-year incidence of visual loss in a diabetic population. Ophthalmology 1994;101:1061–70.
Diabetes care and research in Europe: The Saint Vincent Declaration. Diabet Med 1990;7:360.
Bailey CC, Sparrow JM, Grey RHB, Cheng H . The National Diabetic Retinopathy Laser Treatment Audit. I. Maculopathy. Eye 1998;12:69–76.
Klein R, Klein BEK, Moss SE, Davis MD, DeMets DL . The Wisconsin Epidemiologic Study of Diabetic Retinopathy. II. Prevalence and risk of diabetic retinopathy when age at diagnosis is less than 30 years. Arch Ophthalmol 1984;102:520–6.
Klein R, Klein BEK, Moss SE, Davis MD, DeMets DL . The Wisconsin Epidemiologic Study of Diabetic Retinopathy. III. Prevalence and risk of diabetic retinopathy when age at diagnosis is 30 or more years. Ophthalmology 1984;102:527–32.
Bennett N, Dodd T, Flatley, J, Freeth S, Boiling K . Health survey for England 1995. Social Survey Division of the Office of Population Censuses and Surveys, London: HMSO, 1995.
UK Prospective Diabetes Study. IV. Characteristic of newly presenting type 2 diabetic patients: male preponderance and obesity at different ages. Diabet Med 1988;5:154–9.
Klein R, Klein BEK, Moss SE, Davis MD, DeMets DL . The Wisconsin Epidemiologic Study of Diabetic Retinopathy. VI. Retinal photocoagulation. Ophthalmology 1987;94:747–53.
Aldington SJ, Stratton IS, Kohner EM, Matthews DR, Turner RC . Prevalence of retinopathy at diagnosis of type 2 diabetes in the UK Prospective Diabetes Study. Diabet Med 1994;11:S43–4.
Klein R, Klein BE, Moss SE, Cruickshanks KJ . The Wisconsin Epidemiologic Study of Diabetic Retinopathy. XIV. Ten-year incidence and progression of diabetic retinopathy. Arch Ophthalmol 1994;112:1217–28.
Foulds WS, McCuish A, Barrie T, et al. Diabetic retinopathy in the west of Scotland: its detection and prevalence, and the cost-effectiveness of a proposed screening programme. Health Bull 1983;41:318–26.
Brunei University Health Economics Research Group. Diabetic retinopathy screening project: Special Medical Development Project Team. Health Economics Research Group report no. 8, 1990.
Early Treatment Diabetic Retinopathy Study Research Group. Techniques for scatter and local photocoagulation treatment of diabetic retinopathy: ETDRS report no. 3. Int Ophthalmol Clin 1987;27:254–64.
Hulbert MF, Vernon SA . Passing the DVLC field regulations following bilateral pan-retinal photocoagulation in diabetics. Eye 1992;6:456–60.
Aylward GW, Pearson RV, Jagger JD, Hamilton AM . Extensive argon laser photocoagulation in the treatment of proliferative diabetic retinopathy. Br J Ophthalmol 1989;73:197–201.
Reddy VM, Zamora RL, Olk RJ . Quantitation of retinal ablation on proliferative diabetic retinopathy. Am J Ophthalmol 1995;119:760–6.
Diabetic Retinopathy Study Research Group. Macular edema in Diabetic Retinopathy Study patients. Ophthalmology 1987;94:754–60.
Hamilton AMP, Ulbig MW, Polkinghorne P . Management of diabetic retinopathy. London: BMJ Publishing Group, 1996.
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The Department of Health provided funding for this project.
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Bailey, C., Sparrow, J., Grey, R. et al. The National Diabetic Retinopathy Laser Treatment Audit. II. Proliferative retinopathy. Eye 12, 77–84 (1998). https://doi.org/10.1038/eye.1998.14
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DOI: https://doi.org/10.1038/eye.1998.14
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