Suspected retinopathies in Norwegian optometric practice with emphasis on patients with diabetes: a cross-sectional study
2008

Suspected Retinopathies in Norwegian Optometric Practice

Sample size: 4052 publication Evidence: moderate

Author Information

Author(s): Sundling Vibeke, Gulbrandsen Pål, Bragadottir Ragnheiður, Bakketeig Leiv S, Jervell Jak, Straand Jørund

Primary Institution: Buskerud University College

Hypothesis

What is the frequency of suspected retinopathies in patients seen for routine optometric examination in Norway?

Conclusion

The diagnosis of retinopathies in Norwegian optometric practice is currently unreliable, indicating a need for improvement in examination and management practices.

Supporting Evidence

  • Ophthalmoscopy was performed in 88% of patients, but only 2% had dilated fundus examinations.
  • Retinopathy was suspected in 106 patients, with 31 having no previous history of ocular or systemic disease.
  • Diabetic retinopathy was seen in 10% of diabetic patients.

Takeaway

This study looked at how often eye problems related to diabetes are found during eye exams in Norway, and it found that many cases might be missed.

Methodology

A questionnaire survey and practice registration were conducted with 212 optometrists, recording details from 20 consecutive patient encounters each.

Potential Biases

Optometrists who participated may differ from non-participants in terms of demographics and practice habits.

Limitations

The study did not validate the optometrists' findings and relied on self-reported patient histories.

Participant Demographics

The study included 212 optometrists and 4,052 patients, with a majority being female and a significant portion aged 75 or older.

Statistical Information

P-Value

0.002

Confidence Interval

6.4 (4.2 to 9.9), 3.8 (2.4 to 6.0), 2.5 (1.4 to 4.7)

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-8-38

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