Ross - Telemedicine in DR screening.pdf

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1、Current Practices and Future Prospects:Telemedicine in Diabetic Retinopathy ScreeningJonathon Ross,OD,MS,FAAOAssistant Clinical ProfessorFinancial disclosures NoneObjectives Epidemiology Diabetes and vision loss Models for retinal screening Traditional Hybrid AI Barriers for AI retinal screeningEpid

2、emiology Diabetes prevalence World(2024)Adults 589 million1(10%)US(2024)Adults 38 million2(11.5%)Seniors 16.5 million2(29%)1.IDF Diabetes Atlas 2025.11th Edition.2025.https:/diabetesatlas.org/resources/idf-diabetes-atlas-2025/2.American Diabetes Association.2025.https:/diabetes.org/about-diabetes/st

3、atistics/about-diabetes.US fiscal impact US annual cost of vision impairment and blindness due to diabetes(2023)Direct health costs=$306 billion1 Indirect health costs=$106 billion1 Total health costs=$412 billion11.Statistics.American Diabetes Association.2023.https:/diabetes.org/about-us/statistic

4、sComplications of diabetes Systemic complications1 Blindness Kidney failure Heart attack Stroke Limb amputation Ocular complications Diabetic retinopathy#1 cause of preventable vision impairment and blindness in working age adults2 Incidence 1 in 3 patients with diabetes21.Diabetes Fact Sheet.WHO.20

5、23.https:/www.who.int/health-topics/diabetes#tab=tab_12.Statistics.American Diabetes Association.2023.https:/diabetes.org/about-us/statisticsDiabetic retinopathy(DR)Clinical findings1 Damage to all layers of the retina,including the macula Progression risk factors2 Duration of disease Hyperglycemia

6、Hypertension Hyperlipidemia Nephropathy Pregnancy1.Diabetic Retinopathy.Retinal vascular disease.Chapter 13.Kanskis Clinical Ophthalmology.8th Edition.Elsevier,Sydney Australia2.Klein et.al.The Wisconsin Epidemiologic Study of Diabetic Retinopathy.Arch Ophthal