Journal of Telemedicine and Telecare > Volume 10, Supplement 1 > Pp. 92-94

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Telepaediatrics and diabetic retinopathy screening of young people with diabetes in Queensland

J K Stillman, G A Gole, R Wootton, N Woolfield, D Price, J Van der Westhuyzen, M Williams and J Williams

Centre for Online Health, University of Queensland, Australia; Department of Ophthalmology, Royal Children's Hospital, Brisbane, and Department of Paediatrics and Child Health, University of Queensland, Brisbane, Australia; Centre for Online Health, University of Queensland, Australia; Caboolture Hospital, Queensland, Australia; Gold Coast Hospital, Queensland, Australia; Hervey Bay Hospital, Queensland, and Maryborough Hospital, Queensland, Australia; Mackay Hospital, Queensland, Australia; Bundaberg Base Hospital, Queensland, Australia
We have examined the feasibility of a telemedicine-enabled screening service for children and adolescents with diabetes in Queensland. There are approximately 1400 young people with diabetes in Queensland and only about two-thirds of them are screened in accordance with international guidelines. A regional retinal screening service was established using a nonmydriatic digital retinal camera. Seven centres volunteered to participate in the study. During a five-month pilot trial, 83 of the young people with diabetes who attend these centres underwent digital retinal screening (3.7%). Retinal images were sent via email to a paediatric ophthalmologist for review and results were returned via email. A copy of each participant's results was forwarded by mail to the referring diabetes doctor and the participant and family. The majority of the image files (96%) were rated as excellent or good. Only one participant was identified as having an abnormal result. Participants and their families expressed satisfaction with the digital retinal screening process.

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