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Diabetic retinopathy screening in persons with mental illness: a literature review
  1. Elinor Rhian Bradley1,
  2. Vijay Delaffon2
  1. 1Ashford Community Mental Health Trust, Kent and Medway NHS and Social Care Partnership Trust, Ashford, UK
  2. 2Willow Suite, Kent and Medway NHS and Social Care Partnership Trust, Dartford, UK
  1. Correspondence to Dr Elinor Rhian Bradley; elinor.bradley{at}nhs.net

Abstract

People living with severe mental illness (SMI) have an increased risk of developing diabetes and are less likely to spontaneously report physical health concerns; they may therefore derive greater benefit from attending screening to prevent diabetic retinopathy.

We conducted a literature review to consider the uptake of diabetic retinopathy screening (DRS) in people with mental illness.

People with a diagnosis of SMI and those with self-reported mental ill-health have reduced attendance at DRS, within the context of poorer compliance with general diabetic care. Anxiety and depression were noted as barriers in attending DRS.

People living with SMI require additional support to benefit from preventative health programmes such as DRS. Further research could support a better understanding of barriers to attendance, allowing effective support systems to be developed.

  • retina
  • treatment other
  • diagnostic tests/investigation
http://creativecommons.org/licenses/by-nc/4.0/

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Footnotes

  • Contributors Both authors made substantial contributions to the conception, design, acquisition of data and analysis of the work. Both authors were responsible for drafting and revising the work, and approving the final version to be published. Both authors are accountable for all aspects of the integrity of the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.