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Swindon sets sights on reducing diabetic retinopathy

A bold move to head off diabetes-related blindness is under way at Swindon PCT. 1st Retinal Screen, a Cheshire-based partnership between care management company Health Intelligence and retinal screening experts Sweetpip, has installed a diabetic retinopathy service at the West Country Trust.

The service aims to reduce the number of patients going blind due to diabetes by offering free screening to those at risk and seeking to screen them as early on as possible.

Diabetic retinopathy is a specific microvascular complication of both insulin dependent (type1) and non-insulin dependent (type 2) diabetes. The prevalence of retinopathy is strongly linked to the duration of diabetes: after 20 years nearly all patients with type 1 diabetes and over 60 per cent of patients with type 2 diabetes have some degree of retinopathy. A diabetic is 25 times more likely to go blind than a member of the general population.

Over the next two years around 8,000 patients from 39 GP practices across the Swindon PCT area, as well as parts of the Kennet and North Wiltshire PCT area, are due to participate in the screening service — an increase in screening figures of approximately 50 per cent — with a view to increasing the number to 80 per cent by the end of 2006.

The system uses a digital camera rather than a physical eye examination and patients who are identified as having the condition will be referred direct to hospital.

Jane Leaman, Director of Public Health at Swindon PCT said: “This service is important and different for two reasons: it means we can catch so many more patients early on before they are at risk of going blind, plus the quality of screening and support will be much higher than previously available locally.”

The new service will comprise three centres and, in a bid to maximise flexibility, patients will be able to select the date and time of their appointment at any one of the three.

Source: bjhc&im November 2005

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