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Master Thesis

Application de la télémédecine en ophtalmologie dans le diagnostic et le suivi de la rétinopathie diabétique

Abstract : 1/3 of the 3.5 million diabetic patients in France potentially have Diabetic Retinopathy (DR). This pathology is the main cause of preventable visual impairment in the working population around the world. Also, organized screening is recommended at least every 2 years in the diabetic population. Yet only 64% of them received biennial screening in 2018. This thesis aims to draw up an inventory of the possibilities offered in 2021 in France by telemedicine to improve this rate. It presents its existing protocols, their implementation, and their quotation in French law. A non-exhaustive list of advantages and limitations of the use of telemedicine is provided. Artificial Intelligence (AI) algorithms are now capable of deep machine learning. They create in autonomy their own logic to answer a given question, after presenting a database of thousands of occurrences. This work will therefore present the promising results of this technology, specifically in the detection of DR, without forgetting to evoke the legitimate questions that these advances raise. Finally, the methodology of a pilot study which will begin in Normandy is presented, the DiabEyeIA study. It will offer screening for DR in 12 pharmacies in the Normandy region using non-mydriatic retinophotographs analyzed by IA, and this on the occasion of the renewal of anti-diabetic treatment. The aim of this innovative study will be to show an increase in the screening rate, combining telemedicine and IA, compared to the classic rate in the literature.
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https://dumas.ccsd.cnrs.fr/dumas-03556745
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Submitted on : Friday, February 4, 2022 - 9:45:01 AM
Last modification on : Wednesday, March 23, 2022 - 3:31:40 AM

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  • HAL Id : dumas-03556745, version 1

Citation

Benoît Gandon. Application de la télémédecine en ophtalmologie dans le diagnostic et le suivi de la rétinopathie diabétique. Médecine humaine et pathologie. 2021. ⟨dumas-03556745⟩

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