{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T19:11:01Z","timestamp":1791573061455,"version":"4.3.4"},"reference-count":49,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To develop and implement a community\u2010based programme for screening of diabetic retinopathy (<jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content>) in urban populations of Delhi.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Known diabetics (<jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>s) aged 40 years and older were identified through house\u2010to\u2010house surveys, volunteers and publicity. All <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>s were referred to <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> screening camps organised locally where procedures included brief medical history, ocular examination and non\u2010mydriatic fundus photography using portable handheld camera. Fundal images were graded on the spot by trained optometrists for <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content>. Patients with <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> were referred to tertiary centre for management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 11 566 <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>s were identified, of whom 9435 (81.6%) visited <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> screening camps and 8432 (89.4%) had <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> gradable images. <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> was identified in 13.5% of subjects; 351 cases were mild <jats:styled-content style=\"fixed-case\">NPDR<\/jats:styled-content>, 567 moderate, 92 severe. Seventy\u2010seven had <jats:styled-content style=\"fixed-case\">PDR<\/jats:styled-content>, and 49 had <jats:styled-content style=\"fixed-case\">DME<\/jats:styled-content>, and 2.7% of participants were blind (presenting visual acuity &lt;3\/60 in better eye). Non\u2010use of lifestyle management, presence of systemic complications, <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> &lt;18.5 kg\/m<jats:sup>2<\/jats:sup>, disease duration of &gt;5 years and uncontrolled diabetes were associated with increased odds of <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content>. All cases with <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> were referred, and 420 (37%) successful referrals to base hospital were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The programme of creating awareness about <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content>, identifying <jats:styled-content style=\"fixed-case\">KD<\/jats:styled-content>s and optometrist\u2010led <jats:styled-content style=\"fixed-case\">DR<\/jats:styled-content> screening using non\u2010mydriatic fundus camera based in slums was successful.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13039","type":"journal-article","created":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T05:06:39Z","timestamp":1518411999000},"page":"405-414","source":"Crossref","is-referenced-by-count":21,"title":["Diabetic retinopathy screening programme utilising non\u2010mydriatic fundus imaging in slum populations of New Delhi, India"],"prefix":"10.1111","volume":"23","author":[{"given":"Meenakshi","family":"Wadhwani","sequence":"first","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences AIIMS New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Vashist","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences AIIMS New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suraj Senjam","family":"Singh","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences AIIMS New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noopur","family":"Gupta","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences AIIMS New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumit","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences AIIMS New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aparna","family":"Gupta","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences AIIMS New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pallavi","family":"Shukla","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences AIIMS New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Bhardwaj","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences AIIMS New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Gupta","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences AIIMS New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2011-300539"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ceo.12696"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(13)70113-X"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-1909"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/2230-8210.179774"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0002867"},{"key":"e_1_2_5_8_1","unstructured":"International Diabetes Federation.IDF Diabetes Atlas 7th Edition [Internet]. 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