某镇糖尿病患者非散瞳眼底拍片结果浅析

目的了解社区糖尿病患者眼底摄片质量并浅析原因,寻找提高摄片质量的方法,为更好开展上海市糖尿病眼病综合防治服务模式项目奠定基础。方法通过对本社区参加慢病体检的已纳入社区糖尿病管理的居民进行非散瞳眼底摄片,通过万达系统上传眼底片并由上海市第五人民医院眼科医生完成远程阅片。结果820位本社区在管糖尿病患者参加本次体检,平均年龄67.84±6.29,其中2名患者因无法配合未完成眼底片的采集,818名完成眼底片采集的糖尿病患者中414只眼的读片结果为眼底像模糊,占总眼底摄片1636只的25.31%。结论:仪器、患者、操作者以及环境都是影响眼底摄片质量的原因。

Objective:to understand the community diabetic patients’eye base photograph quality and analyses the reasons,find out the ways to improve the quality of photograph,in order to establish foundation for better developing the service model project of shanghai diabetic patients’eye disease integrated prevention and control.Methods:based on community chronic disease patients’non mydriasis eye base photograph who have been incorporated into the community diabetes management,and then uploaded to wanda system and examined by Shanghai fifth people's hospital ophthalmologist.Results:820 patients participate in the examination,their average age is 67.84+/-6.29,2 patients of them don’t finish photograph collection,and reading results of 414 eyes’base photograph are vague in the 818 diabetic patients whose eye base photographs are collected,only 25.31%of the 1636 eye base photograph.Conclusion:instrument,patient,operator and environment are all factors that influence the quality of fundus photograph.