Diagnosis of XXXX .

@entity1 @entity6 @entity989
The correct diagnosis of proliferation @entity6 is essential, because it is a treatable disease and missing the diagnosis can lead to the @entity1 becoming blind. We examined the ability of internists and ophthalmologists to diagnose @entity989 under optimal conditions. Twenty-three physicians performed retinal examinations on ten @entity6 @entity1 and one normal @entity1 with dilated pupils. Physician examiners were members of a university medical center and included 10 internists, 2 diabetologists, 4 senior medical residents, 4 general ophthalmologists, and 3 ophthalmologists who were subspecialists in @entity989 . Correct diagnosis was determined separately by the consensus of three ophthalmologists specializing in @entity989 , who reviewed seven-view stereo fundus photographs and medical charts. Of a possible 483 individual eye a examinations, 438 were completed. The overall error rate was 61%. The error rate for missing the diagnosis of @entity989 varied from 0% for retinal specialists to 49% for internists, diabetologists, and medical residents. We conclude that potentially serious mistakes in diagnosis are currently made by the physicians who care for most @entity6 @entity1 . Experience and specialized knowledge lessen that the error rate. Further education or greater use of referrals may be necessary to provide optimal @entity1 care.
