{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:29:09Z","timestamp":1789990149257,"version":"4.0.1"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,10,17]],"date-time":"2013-10-17T00:00:00Z","timestamp":1381968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Diabetic retinopathy (<jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content>) is the most common complication of diabetes and needs to be diagnosed early to prevent severe sight\u2010threatening retinopathy. Digital photography with telemedicine connections is a novel way to deliver cost\u2010effective, accessible screening to remote areas. Screening for <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> in a mobile eye examination unit (EyeMo) is compared to traditional service models (i.e. local municipal services or a commercial service provider). The quality of images, delays from screening to treatment, the stage of <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content>, coverage of screening and the rate of visual impairment due to <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> are evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>EyeMo utilizes telemedicine technology. The electronic databases of the hospital and information from the Finnish Register of Visual Impairment were used to determine delays and the rate of visual impairment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fourteen thousand eight hundred and sixty\u2010six fundus photographs were taken in EyeMo in 2007\u20132011. Coverage reached 78% of potential clients. No <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> was detected in 43%, mild background retinopathy in 23%, moderate or severe background retinopathy in 31% and proliferative retinopathy in 3% of the evaluations. The quality of images was higher (p\u00a0&lt;\u00a00.01) and delays shorter (p\u00a0&lt;\u00a00.01) in EyeMo as compared to traditional service models. The rate of visual impairment due to <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> decreased by 86% in the area covered by EyeMo, and the change compared favourably to the situation in the entire Finland (p\u00a0&lt;\u00a00.0005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>EyeMo is a feasible model of telemedicine application for screening of <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content>. Effective screening and timely access to care may indeed have influenced the reduced rate of visual damage.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.12278","type":"journal-article","created":{"date-parts":[[2013,10,17]],"date-time":"2013-10-17T10:33:02Z","timestamp":1382005982000},"page":"582-587","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["Marked reductions in visual impairment due to diabetic retinopathy achieved by efficient screening and timely treatment"],"prefix":"10.1111","volume":"92","author":[{"given":"Nina","family":"Hautala","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Oulu University Hospital Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riittaliisa","family":"Aikkila","sequence":"additional","affiliation":[{"name":"Administration Centre Oulu University Hospital Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juha","family":"Korpelainen","sequence":"additional","affiliation":[{"name":"Administration Centre Oulu University Hospital Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antti","family":"Keskitalo","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Oulu University Hospital Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Kurikka","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Oulu University Hospital Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aura","family":"Falck","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Oulu University Hospital Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Risto","family":"Bloigu","sequence":"additional","affiliation":[{"name":"Medical Informatics Group University of Oulu Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannu","family":"Alanko","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Oulu University Hospital Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,10,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2010.091204"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2009.12.003"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0008-4182(05)80091-2"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-1317"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)62124-3"},{"key":"e_1_2_6_7_1","volume-title":"Working group set up by the Finnish Medical Society Duodecim, the Finnish Society of Internal Medicine and the Finnish Diabetes Association","author":"Diabetes","year":"2006"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(13)38012-9"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.11-7321"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-129-2-199807150-00012"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60765-5"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.2009.01570.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7250.1627"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2010.0155"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2009.02870.x"},{"key":"e_1_2_6_16_1","unstructured":"OjamoM(2010):N\u00e4k\u00f6vammarekisterin vuosikirja 2009. 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