Corpus
Accueil
Racine
Corpus
Exploration
Accueil
Racine
Accueil

Serveur d'exploration sur le peuplier

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

How frequently should asymptomatic patients be dilated?

Identifieur interne : 002265 ( Main/Corpus ); précédent : 002264; suivant : 002266

How frequently should asymptomatic patients be dilated?

Auteurs : Paul Varner

Source :

RBID : pubmed:24646902

English descriptors

Abstract

PURPOSE

To determine if routine dilated fundus examination (DFE) should be performed sooner than at 10-year intervals in asymptomatic patients.

METHODS

Records for all patients consecutively evaluated in a one-year time frame were systematically reviewed. Of those patients who received initial DFE and were living 10 years later, records for sequential DFE were again evaluated to determine presence of clinically-significant, peripheral retinal findings. Databases were also searched in order to determine the number of patients during the same 10-year time period who developed vision or life-threatening peripheral retinal findings. The two groups were cross-matched to determine effectiveness of routine DFE.

RESULTS

Only 10 of 592 patients were deemed to have "clinically-significant" peripheral retinal findings--none of whom developed untoward outcomes. Of the 29 new retinal detachments and four intraocular tumors discovered during ten years of clinical follow-up, nearly 90% were symptomatic at the time of discovery. Three detachments and one tumor were detected as incidental findings in asymptomatic patients. No further treatment was recommended for the three detachments and the patient with the tumor survives, although with profound loss of vision in the involved eye.

CONCLUSIONS

In the absence of symptoms, routine DFE seems to have a very low yield for discovery of serious ocular events and appears to be ineffective in altering the course of incidental findings. Routine DFE is not indicated for older, asymptomatic patients--even at decade intervals. The findings of this study should be prospectively confirmed in population-based studies.


DOI: 10.1016/j.optom.2013.03.001
PubMed: 24646902
PubMed Central: PMC3938739

Links to Exploration step

pubmed:24646902

Le document en format XML

<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">How frequently should asymptomatic patients be dilated?</title>
<author>
<name sortKey="Varner, Paul" sort="Varner, Paul" uniqKey="Varner P" first="Paul" last="Varner">Paul Varner</name>
<affiliation>
<nlm:affiliation>John J Pershing Veterans Affairs Medical Center, Poplar Bluff, Missouri, USA. Electronic address: paul.varner@va.gov.</nlm:affiliation>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PubMed</idno>
<date when="2014">2014 Jan-Mar</date>
<idno type="RBID">pubmed:24646902</idno>
<idno type="pmid">24646902</idno>
<idno type="doi">10.1016/j.optom.2013.03.001</idno>
<idno type="pmc">PMC3938739</idno>
<idno type="wicri:Area/Main/Corpus">002265</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">002265</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en">How frequently should asymptomatic patients be dilated?</title>
<author>
<name sortKey="Varner, Paul" sort="Varner, Paul" uniqKey="Varner P" first="Paul" last="Varner">Paul Varner</name>
<affiliation>
<nlm:affiliation>John J Pershing Veterans Affairs Medical Center, Poplar Bluff, Missouri, USA. Electronic address: paul.varner@va.gov.</nlm:affiliation>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Journal of optometry</title>
<idno type="eISSN">1989-1342</idno>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Asymptomatic Diseases (MeSH)</term>
<term>Fundus Oculi (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Ophthalmoscopy (methods)</term>
<term>Ophthalmoscopy (standards)</term>
<term>Retinal Diseases (diagnosis)</term>
<term>Retrospective Studies (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Retinal Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Ophthalmoscopy</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en">
<term>Ophthalmoscopy</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Asymptomatic Diseases</term>
<term>Fundus Oculi</term>
<term>Humans</term>
<term>Retrospective Studies</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<b>PURPOSE</b>
</p>
<p>To determine if routine dilated fundus examination (DFE) should be performed sooner than at 10-year intervals in asymptomatic patients.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Records for all patients consecutively evaluated in a one-year time frame were systematically reviewed. Of those patients who received initial DFE and were living 10 years later, records for sequential DFE were again evaluated to determine presence of clinically-significant, peripheral retinal findings. Databases were also searched in order to determine the number of patients during the same 10-year time period who developed vision or life-threatening peripheral retinal findings. The two groups were cross-matched to determine effectiveness of routine DFE.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Only 10 of 592 patients were deemed to have "clinically-significant" peripheral retinal findings--none of whom developed untoward outcomes. Of the 29 new retinal detachments and four intraocular tumors discovered during ten years of clinical follow-up, nearly 90% were symptomatic at the time of discovery. Three detachments and one tumor were detected as incidental findings in asymptomatic patients. No further treatment was recommended for the three detachments and the patient with the tumor survives, although with profound loss of vision in the involved eye.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>In the absence of symptoms, routine DFE seems to have a very low yield for discovery of serious ocular events and appears to be ineffective in altering the course of incidental findings. Routine DFE is not indicated for older, asymptomatic patients--even at decade intervals. The findings of this study should be prospectively confirmed in population-based studies.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">24646902</PMID>
<DateCompleted>
<Year>2014</Year>
<Month>09</Month>
<Day>30</Day>
</DateCompleted>
<DateRevised>
<Year>2018</Year>
<Month>11</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1989-1342</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>7</Volume>
<Issue>1</Issue>
<PubDate>
<MedlineDate>2014 Jan-Mar</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Journal of optometry</Title>
<ISOAbbreviation>J Optom</ISOAbbreviation>
</Journal>
<ArticleTitle>How frequently should asymptomatic patients be dilated?</ArticleTitle>
<Pagination>
<MedlinePgn>57-61</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.optom.2013.03.001</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S1888-4296(13)00021-6</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To determine if routine dilated fundus examination (DFE) should be performed sooner than at 10-year intervals in asymptomatic patients.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Records for all patients consecutively evaluated in a one-year time frame were systematically reviewed. Of those patients who received initial DFE and were living 10 years later, records for sequential DFE were again evaluated to determine presence of clinically-significant, peripheral retinal findings. Databases were also searched in order to determine the number of patients during the same 10-year time period who developed vision or life-threatening peripheral retinal findings. The two groups were cross-matched to determine effectiveness of routine DFE.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Only 10 of 592 patients were deemed to have "clinically-significant" peripheral retinal findings--none of whom developed untoward outcomes. Of the 29 new retinal detachments and four intraocular tumors discovered during ten years of clinical follow-up, nearly 90% were symptomatic at the time of discovery. Three detachments and one tumor were detected as incidental findings in asymptomatic patients. No further treatment was recommended for the three detachments and the patient with the tumor survives, although with profound loss of vision in the involved eye.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In the absence of symptoms, routine DFE seems to have a very low yield for discovery of serious ocular events and appears to be ineffective in altering the course of incidental findings. Routine DFE is not indicated for older, asymptomatic patients--even at decade intervals. The findings of this study should be prospectively confirmed in population-based studies.</AbstractText>
<CopyrightInformation>Copyright © 2012 Spanish General Council of Optometry. Published by Elsevier Espana. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Varner</LastName>
<ForeName>Paul</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>John J Pershing Veterans Affairs Medical Center, Poplar Bluff, Missouri, USA. Electronic address: paul.varner@va.gov.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2013</Year>
<Month>05</Month>
<Day>07</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>Spain</Country>
<MedlineTA>J Optom</MedlineTA>
<NlmUniqueID>101482903</NlmUniqueID>
<ISSNLinking>1989-1342</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D058070" MajorTopicYN="Y">Asymptomatic Diseases</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005654" MajorTopicYN="Y">Fundus Oculi</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009887" MajorTopicYN="N">Ophthalmoscopy</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
<QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012164" MajorTopicYN="N">Retinal Diseases</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Diagnostic yield</Keyword>
<Keyword MajorTopicYN="N">Dilatación pupilar</Keyword>
<Keyword MajorTopicYN="N">Frecuencia</Keyword>
<Keyword MajorTopicYN="N">Frequency</Keyword>
<Keyword MajorTopicYN="N">Pupillary dilation</Keyword>
<Keyword MajorTopicYN="N">Rendimiento diagnóstico</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2012</Year>
<Month>01</Month>
<Day>12</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2013</Year>
<Month>02</Month>
<Day>08</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2013</Year>
<Month>02</Month>
<Day>08</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2014</Year>
<Month>3</Month>
<Day>21</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2014</Year>
<Month>3</Month>
<Day>22</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2014</Year>
<Month>10</Month>
<Day>1</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">24646902</ArticleId>
<ArticleId IdType="pii">S1888-4296(13)00021-6</ArticleId>
<ArticleId IdType="doi">10.1016/j.optom.2013.03.001</ArticleId>
<ArticleId IdType="pmc">PMC3938739</ArticleId>
</ArticleIdList>
<ReferenceList>
<Reference>
<Citation>Ophthalmology. 2005 Oct;112(10):1784-9</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">16154197</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Arch Ophthalmol. 1981 Oct;99(10):1788-90</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">7295127</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Arch Ophthalmol. 2010 Jul;128(7):871-5</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">20625048</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Arch Ophthalmol. 1997 Sep;115(9):1179-84</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">9298061</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Ophthalmology. 1989 Sep;96(9):1396-401; discussion 1401-2</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">2780007</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Invest Ophthalmol Vis Sci. 2004 Aug;45(8):2539-42</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">15277474</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Ophthalmology. 2010 Feb;117(2):324-33</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">19969359</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Ophthalmology. 2016 Jan;123(1):P209-36</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">26581558</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>J Am Optom Assoc. 1990 Jan;61(1):25-34</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">2319090</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Optom Vis Sci. 1998 Mar;75(3):161-2</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">9547796</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Ophthalmology. 1982 Sep;89(9):1033-9</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">7177568</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Respir Care. 2004 Oct;49(10):1171-4</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">15447798</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Ophthalmology. 1986 Sep;93(9):1127-37</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">3808625</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Ophthalmology. 1998 Feb;105(2):382-6</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">9479303</ArticleId>
</ArticleIdList>
</Reference>
<Reference>
<Citation>Arch Ophthalmol. 1974 Sep;92(3):208-10</Citation>
<ArticleIdList>
<ArticleId IdType="pubmed">4853892</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
</PubmedData>
</pubmed>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Bois/explor/PoplarV1/Data/Main/Corpus

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002265 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 002265 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Bois
   |area=    PoplarV1
   |flux=    Main
   |étape=   Corpus
   |type=    RBID
   |clé=     pubmed:24646902
   |texte=   How frequently should asymptomatic patients be dilated?
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Corpus/RBID.i   -Sk "pubmed:24646902" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd   \
       | NlmPubMed2Wicri -a PoplarV1
Wicri

This area was generated with Dilib version V0.6.37.
Data generation: Wed Nov 18 12:07:19 2020. Site generation: Wed Nov 18 12:16:31 2020