MONITORING OF MODERATE DIABETIC RETINOPATHY BY TELE-EXPERTISE

Study Overview
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Brief Summary
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The aim of this study is to evaluate the monitoring of moderate diabetic retinopathy by tele-expertise

Detailed Description
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This study compares 2 strategies of monitoring of moderate diabetic retinopathy (RD).After a consultation with an orthoptist for measurement of visual acuity, measurement of ocular tone by pulsed air tonometer, retinography pictures (9 photographs: one of the posterior pole and 8 of the retinal periphery) and Optical Coherence Tomography (OCT), results are evaluated on-site by an ophthalmologist and then sent through a secure medical online application to an ophthalmologist expert in RD for assessment. Each patient is his own control.

Official Title
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COMPARISON OF MONITORING OF MODERATE DIABETIC RETINOPATHY BY TELE-EXPERTISE AND CONVENTIONAL OPHTHALMOLOGICAL CONSULTATION

Conditions
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Diabetic Retinopathy

Intervention / Treatment
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* Other: moderate diabetic retinopathy follow-up by tele-expertise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patient with complicated diabetes mellitus with moderate retinopathy Exclusion Criteria: Patient deprived of liberty by judicial or administrative decision Person subject to a legal protection measure Patient already involved in another clinical trial protocol

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: moderate diabetic retinopathy follow-up by tele-expertise|Consultation by an orthoptist to measure visual acuity, eye tone by pulsed air tonometer, and retinography images after pupillary dilatation (9 photographs: one of the posterior pole and 8 of the peripheral retina) and optical coherence tomography (OCT). The results are immediately evaluated on site by an ophthalmologist. The results are sent through a secure online medical application to a diabetic retinopathy specialist ophthalmologist for evaluation.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| classification of diabetic retinopathy (DR) | DR is classified in 3 stages : moderate non proliferative DR, severe non proliferative DR, and proliferative DR | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| classification of macular edema | macular edema (ME) is classified in 4 stages : no ME , mild ME, moderate ME, severe ME | 1 month | 
| follow-up strategy | follow-up strategy can take to ways : no treatment required and continuation of the monitoring/ complementary exam or treatment required | 1 month | 
| medical time necessary for examination and analyse | time necessary for direct examination and analyse by ophthalmologist on-site and time necessary for remote analyse are measured | 1 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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moderate diabetic retinopathy, tele-expertise