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Journal of Diabetes Research
Volume 2016 (2016), Article ID 4529824, 9 pages
Research Article

Diabetic Retinopathy Screening Using Telemedicine Tools: Pilot Study in Hungary

1Department of Public Health, University of Szeged, Szeged, Hungary
2Department of Ophthalmology, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary
3Health Intelligence, Clinical Development, Chesire, UK
4Centre of Eye Research, Department of Ophthalmology, Oslo University Hospital, University of Oslo, Oslo, Norway
5Health Services Research Centre, Akershus University Hospital, Lørenskog, Norway
6Institute of Clinical Medicine, University of Oslo, Campus Ahus, Oslo, Norway

Received 9 September 2016; Revised 27 October 2016; Accepted 3 November 2016

Academic Editor: Daniel Petrovič

Copyright © 2016 Dóra J. Eszes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. Diabetic retinopathy (DR) is a sight-threatening complication of diabetes. Telemedicine tools can prevent blindness. We aimed to investigate the patients’ satisfaction when using such tools (fundus camera examination) and the effect of demographic and socioeconomic factors on participation in screening. Methods. Pilot study involving fundus camera screening and self-administered questionnaire on participants’ experience during fundus examination (comfort, reliability, and future interest in participation), as well as demographic and socioeconomic factors was performed on 89 patients with known diabetes in Csongrád County, a southeastern region of Hungary. Results. Thirty percent of the patients had never participated in any ophthalmological screening, while 25.7% had DR of some grade based upon a standard fundus camera examination and UK-based DR grading protocol (Spectra™ software). Large majority of the patients were satisfied with the screening and found it reliable and acceptable to undertake examination under pupil dilation; 67.3% were willing to undergo nonmydriatic fundus camera examination again. There was a statistically significant relationship between economic activity, education and marital status, and future interest in participation. Discussion. Participants found digital retinal screening to be reliable and satisfactory. Telemedicine can be a strong tool, supporting eye care professionals and allowing for faster and more comfortable DR screening.