Recent projects focusing on non-proliferative diabetic retinopathy are mainly based on subjective or computerized analysis of color fundus photographs. Do you think that this is a sufficient approach?
In my opinion automated software approach is a viable one, but only for screening. The second step the patients selected by sofrware will be examinated by retinal specialist including also OCT, OCT-A
My published suggestiones on the matter are enclosed
Article Eye Care: Where We Are ?
Subjective evaluation of color fundus photographs is employed successfully here in the UK for screening purposes. It's a good method to note whether a patient has any degree of diabetic retinopathy or if there is a change in the degree of retinopathy. However, without the aid of OCT macular edema may be missed, resulting in visual loss. Therefore, it should be a part of the patient screening.
Computerized assessments are still in early stages. It will be interesting to see if they provide the same service as subjective assessments. However, here as well, this should only be done for screening purposes, as, at least at this stage, deciding on interventional procedures such as intravitreal injections or laser treatments based on a computerized assessment only may be risky.
I am dismayed that the answers here betray lack of knowledge of the glucose tolerance curve relationship to plasma ascorbate. Instead we are offered laser surgery for deficiency disease. Is that what you would choose for yourself if you had learned from the CardioRetinometry® nutritional protocol that simultaneously, diabetic retinopathy was disappearing? Much diabetes appears to be controllable with ascorbate alone in sufficient and sufficiently frequent doses. I suggest Irwin Stone´s collected evidence from 50 years ago for a start. Truly, this is prima facie evidence that pharmacy has corrupted medical education.
http://www.anaturalcure.com/diabetes-and-hypoglycemia-scurvy/
Colour Photographs are used for Screening of DR routinely. In peripheral parts of country with insufficient medical facilities, Tele-ophthalmology is a boon. Those patients screened on colour photographs can be called to tertiary center for further management.
An afterthought is that the retinal ischaemia revealed by fundus colour photography and reversible with extra vitamin C as proved in thousands of my fundus photographs database, is probably an excellent indicator of diabetes vulnerable people.
To some extent, they are sufficient to detect diabetic retinopathy and its severity
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