The evolution of diabetic retinopathy screening

IF 3.2 3区 医学 Q1 OPHTHALMOLOGY Eye Pub Date : 2025-02-05 DOI:10.1038/s41433-025-03633-4
Anushka Irodi, Zhuoting Zhu, Andrzej Grzybowski, Yilan Wu, Carol Y. Cheung, Huating Li, Gavin Tan, Tien Yin Wong
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Abstract

Diabetic retinopathy (DR) is a leading cause of preventable blindness and has emerged as a global health challenge, necessitating the development of robust management strategies. As DR prevalence continues to rise, advancements in screening methods have become increasingly critical for timely detection and intervention. This review examines three key advancements in DR screening: a shift from specialist to generalist approach, the adoption of telemedicine strategies for expanded access and enhanced efficiency, and the integration of artificial intelligence (AI). In particular, AI offers unprecedented benefits in the form of sustainability and scalability for not only DR screening but other aspects of eye health and the medical field as a whole. Though there remain barriers to address, AI holds vast potential for reshaping DR screening and significantly improving patient outcomes globally.

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糖尿病视网膜病变筛查的进展。
糖尿病视网膜病变(DR)是可预防失明的主要原因,并已成为全球健康挑战,需要制定强有力的管理战略。随着DR患病率的持续上升,筛查方法的进步对于及时发现和干预变得越来越重要。本综述审查了DR筛查的三个关键进展:从专家方法向全科方法的转变,采用远程医疗策略以扩大获取和提高效率,以及人工智能(AI)的整合。特别是,人工智能不仅在DR筛查方面,而且在眼睛健康和整个医疗领域的其他方面,以可持续性和可扩展性的形式提供了前所未有的好处。尽管仍有一些障碍需要解决,但人工智能在重塑DR筛查和显著改善全球患者预后方面具有巨大潜力。
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来源期刊
Eye
Eye 医学-眼科学
CiteScore
6.40
自引率
5.10%
发文量
481
审稿时长
3-6 weeks
期刊介绍: Eye seeks to provide the international practising ophthalmologist with high quality articles, of academic rigour, on the latest global clinical and laboratory based research. Its core aim is to advance the science and practice of ophthalmology with the latest clinical- and scientific-based research. Whilst principally aimed at the practising clinician, the journal contains material of interest to a wider readership including optometrists, orthoptists, other health care professionals and research workers in all aspects of the field of visual science worldwide. Eye is the official journal of The Royal College of Ophthalmologists. Eye encourages the submission of original articles covering all aspects of ophthalmology including: external eye disease; oculo-plastic surgery; orbital and lacrimal disease; ocular surface and corneal disorders; paediatric ophthalmology and strabismus; glaucoma; medical and surgical retina; neuro-ophthalmology; cataract and refractive surgery; ocular oncology; ophthalmic pathology; ophthalmic genetics.
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