Diabetic Retinopathy
Conditions
Keywords
moderate diabetic retinopathy, tele-expertise
Brief summary
The aim of this study is to evaluate the monitoring of moderate diabetic retinopathy by tele-expertise
Detailed description
This study compares 2 strategies of monitoring of moderate diabetic retinopathy (RD).After a consultation with an orthoptist for measurement of visual acuity, measurement of ocular tone by pulsed air tonometer, retinography pictures (9 photographs: one of the posterior pole and 8 of the retinal periphery) and Optical Coherence Tomography (OCT), results are evaluated on-site by an ophthalmologist and then sent through a secure medical online application to an ophthalmologist expert in RD for assessment. Each patient is his own control.
Interventions
OTHERmoderate diabetic retinopathy follow-up by tele-expertise
Consultation by an orthoptist to measure visual acuity, eye tone by pulsed air tonometer, and retinography images after pupillary dilatation (9 photographs: one of the posterior pole and 8 of the peripheral retina) and optical coherence tomography (OCT). The results are immediately evaluated on site by an ophthalmologist. The results are sent through a secure online medical application to a diabetic retinopathy specialist ophthalmologist for evaluation.
Sponsors
Centre Hospitalier Sud Francilien
Study design
Observational model
CASE_CROSSOVER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patient with complicated diabetes mellitus with moderate retinopathy
Exclusion criteria
* Patient deprived of liberty by judicial or administrative decision * Person subject to a legal protection measure * Patient already involved in another clinical trial protocol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| classification of diabetic retinopathy (DR) | 1 month | DR is classified in 3 stages : moderate non proliferative DR, severe non proliferative DR, and proliferative DR |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| classification of macular edema | 1 month | macular edema (ME) is classified in 4 stages : no ME , mild ME, moderate ME, severe ME |
| follow-up strategy | 1 month | follow-up strategy can take to ways : no treatment required and continuation of the monitoring/ complementary exam or treatment required |
| medical time necessary for examination and analyse | 1 month | time necessary for direct examination and analyse by ophthalmologist on-site and time necessary for remote analyse are measured |
Countries
France
Contacts
PRINCIPAL_INVESTIGATORAlfred Penfornis
Centre Hospitalier Sud Francilien
Outcome results
None listed