Nonmydriatic Digital Imaging Alternative for Annual Retinal Examination in Peron With Previouly Documented No or Mild Diabetic Retinopathy

Purpoe To propectively evaluate the Jolin Viion Network (JVN) for follow-up annual retinal examination for level of diabetic retinopathy (DR). Deign Propective cohort tudy. Method Fifty-two patient with no or mild nonproliferative DR (Early Treatment Diabetic Retinopathy tudy [ETDR] level ≤35) and no diabetic macular edema (DME) at dilated retinal examination 11 or more month earlier were imaged. Patient then had dilated retinal examination and color 35-mm even tandard field tereocopic photography (ETDR photograph) and completed a atifaction urvey. Level of DR determined from JVN image, clinical examination, and ETDR photograph wa compared. Reult Two (1.9%) eye had JVN image ungradable for level of DR. In the 102 gradable eye (98.1%), JVN diagnoi exactly matched clinical examination for level of DR in 82 eye (77.9%) and wa within one level of DR in all eye (100%). Three eye (2.9%) had JVN image ungradable for DME; one of thee eye had DME by clinical examination. JVN diagnoi matched clinical examination for DME in all eye (101) gradable by JVN. Fifty patient (96.1%) reported JVN imaging improved their undertanding of eye dieae, 100% were atified with JVN, and forty-eight (92.3%) would conider replacing dilated examination by their eye doctor with JVN imaging. Concluion JVN digital imaging cloely matched clinical examination for level of DR and DME, would have reulted in no patient receiving le tringent follow-up, and wa well accepted by patient. JVN digital imaging may be a uitable alternative for annual dilated retinal examination for determining level of DR or DME and appropriate follow-up comprehenive ophthalmic examination.