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Screening for diabetic eye disease in general practices in Victoria

Screening for diabetic retinopathy in general practices in Victoria. Does the current model work?

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12619000659101
Enrollment
185
Registered
2019-05-02
Start date
2019-05-06
Completion date
2019-08-31
Last updated
2019-07-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Diabetic retinopathy, (or diabetic eye disease), is the leading cause of preventable vision loss in working adults. With early diagnosis and treatment, sight threatening diabetic retinopathy can be prevented. To ensure early detection and timely treatment, it is recommended that a person with diabetes has an eye examination at the time of diabetes diagnosis, then at least every two years thereafter. Research has shown that only around one in three Australians actually follow these recommendations and research into the compliance of regular screening methods (such as referral to an optometrist or to private or public eye clinics) has shown that only half of Australians attend these appointments. However, when screening is held within a general practice, better compliance and attendance is achieved. The selected general practices are now offering diabetic retinopathy screening. This study aims to find out if the community find this is an acceptable way to screen for diabetic retinopathy and to find out the rate of previously undiagnosed diabetic retinopathy.

Interventions

As part of routine diabetes care, Medicare now allows for photographic screening to occur within general practices for anyone with diabetes. This study involves the testing of distance visual acuity and undilated retinal photographs using a Kowa nonmyd WX 3D camera at the selected general practices. The testing will be done by the trained practice nurse and the treating general practitioner will then assess the photographs for the presence or absence of diabetic retinopathy and report the result

As part of routine diabetes care, Medicare now allows for photographic screening to occur within general practices for anyone with diabetes. This study involves the testing of distance visual acuity and undilated retinal photographs using a Kowa nonmyd WX 3D camera at the selected general practices. The testing will be done by the trained practice nurse and the treating general practitioner will then assess the photographs for the presence or absence of diabetic retinopathy and report the results to the participant. The entire testing procedure (vision testing and photography) will take approximately 15 minutes and participants will be required to return to the GP clinic for an appointment with their general practitioner to discuss the results. As part of this study the testing will be done one time only. Regular contact with the practice nurse taking the photographs will occur to ensure that the protocol is adhered to as intended and to also support the practice in implementing the screening program.

Sponsors

Dr Nandor Jaross
Lead SponsorIndividual

Study design

Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Diagnosis
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Aged 18 years or above Any form of diabetes mellitus No history of diabetic retinopathy Distance visual acuity of 6/12 or better No more than 2 lines difference of visual acuity between the two eyes Able to give informed consent

Exclusion criteria

Aged less than 18 years old Previous or current diagnosis of diabetic retinopathy Visual acuity less than 6/12 Greater than 2 lines difference of visual acuity between the two eyes

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026