Screening for Diabetic Retinopathy with a Nonmydriatic Ultra-Wide-Field Retina Camera by Family Medicine Physicians

Farford, Bryan; Ahuja, Abhimanyu S.; Stewart, Michael W.; Naessens, James M.; Keith, Joshua J.

doi:10.3122/jabfm.2021.01.200302

Cited by 4 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Beyond concerns for convenience, incentives for DR screening in the primary care setting include mitigating disparities in socioeconomic and racial/ethnic populations. Studies have shown significant disparities in DR prevalence, screening rates, and treatment rates in those of lower socioeconomic status and certain minority populations, such as Native American, Black or African American, and Hispanic populations [13][14][15][16][17][18]. In our study, the group with the largest prevalence of DR was the group whose ethnicity was listed as "Other" (45%), followed by American Indian (25%).…”

Section: Discussionmentioning

confidence: 57%

“…Having the screening performed at the patient's routine primary care follow-up for diabetes care can mitigate some of these inconvenience barriers and increase the proportion of diabetic patients who complete regular screening. In a study incorporating DR screenings in patients' family medicine primary care visits, patients in the sample set reported that incorporating the screening into their routine care was both convenient and appreciated [13]. Though no qualitative data was collected in this study, it can be inferred from the significant proportion of patients who either did not know when their last eye exam was or had never received an eye exam that this service filled a muchneeded healthcare gap.…”

Section: Discussionmentioning

confidence: 87%

See 1 more Smart Citation

Findings from a Statewide Teleretina Diabetic Retinopathy Screening Program in Arkansas

Shirey

Kwok

Jenkins

et al. 2023

International Journal of Telemedicine and Applications

View full text Add to dashboard Cite

Introduction. A significant proportion of diabetic patients in the United States do not present for annual dilated eye exams to monitor for signs of diabetic retinopathy (DR). The purpose of this study was to analyze the results of a statewide, multiclinic teleretina program designed to screen rural Arkansans for this sight-debilitating disease. Methods. Patients with diabetes seen at 10 primary care clinics across Arkansas were offered teleretinal-imaging services. Images were transmitted to the University of Arkansas for Medical Sciences’ (UAMS) Harvey and Bernice Jones Eye Institute (JEI) for grading and recommendations for further treatment. Results. From February 2019 to May 2022, 668 patients underwent imaging; 645 images were deemed of sufficient quality to generate an interpretation. 541 patients had no evidence of DR, while 104 patients had some evidence of DR. 587 patients had no evidence of maculopathy, while 58 patients had some evidence of maculopathy on imaging. 246 patients had other pathology evident on imaging, with the most common being hypertensive retinopathy, glaucoma suspects, and cataracts. Discussion. In a rural, primary care setting, the JEI teleretina program identifies DR and other nondiabetic ocular pathologies, allowing for an appropriate triage for eye care for patients in a predominantly rural state.

show abstract

Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 87%

Findings from a Statewide Teleretina Diabetic Retinopathy Screening Program in Arkansas

Shirey

Kwok

Jenkins

et al. 2023

International Journal of Telemedicine and Applications

View full text Add to dashboard Cite

show abstract

“…These approaches aim to improve access to eye care services, particularly for individuals residing in underserved areas where traditional eye care may be scarce. The following are some common telemedicine approaches used in diabetic eye care: Patients undergo retinal imaging at local clinics or primary care settings using non-mydriatic fundus cameras (Farford et al, 2021). These images are then transmitted to ophthalmologists or trained specialists for remote interpretation and diagnosis.…”

Section: Telemedicine Interventions In Diabetic Eye Carementioning

confidence: 99%

Telemedicine in diabetic eye care: A meta-analysis of its effectiveness in underserved populations

Rawlings Chid,

Ikenna Akubue

2024

World J. Bio. Pharm. Health Sci.

View full text Add to dashboard Cite

Telemedicine has emerged as a promising tool in diabetic eye care, particularly for underserved populations facing barriers to accessing traditional healthcare services. This meta-analysis aims to evaluate the effectiveness of telemedicine interventions in managing diabetic eye conditions within underserved communities. Through a systematic review of existing literature, encompassing diverse telemedicine approaches such as remote screening, teleconsultation, and telemonitoring. These studies were conducted across various regions with underserved populations, including rural areas, low-income urban neighborhoods, and underserved ethnic groups. The meta-analysis revealed significant improvements in several key outcome measures. Firstly, telemedicine interventions led to increased rates of early detection of diabetic retinopathy and other diabetic eye complications, facilitating timely intervention and preventing progression to more severe stages of the disease. Secondly, telemedicine facilitated better access to specialist care, overcoming geographical barriers and reducing the burden of travel for patients. Thirdly, telemedicine interventions were associated with improved patient compliance with follow-up appointments and treatment regimens, leading to better long-term management of diabetic eye conditions. Moreover, subgroup analyses revealed that telemedicine was particularly effective in reaching vulnerable populations such as elderly individuals, those with limited mobility, and ethnic minorities, thereby addressing disparities in healthcare access. Telemedicine holds great promise as an effective tool for diabetic eye care in underserved populations, offering a scalable and cost-effective approach to improving access to timely screening, diagnosis, and management of diabetic eye conditions. Further research and implementation efforts are warranted to optimize telemedicine interventions and ensure equitable access to quality eye care for all.

show abstract

The Effect of Thyroxin on the Biological Effects of High Glucose-Induced Human Retinal Endothelial Cells and B-Cell Lymphoma 2/Bcl-2 Associated X

Liu

Yuan

Gao

2023

j biomater tissue eng

View full text Add to dashboard Cite

This study intends to assess the biological effect of TTR on human retinal endothelial cells under high glucose. Cells were assigned into normal group, high glucose (HG) group and TTR intervention group followed by analysis of cell biological activity and protein expression. The retinal endothelial cell proliferation rate was significantly promoted in HG group (P < 0.05) and inhibited in intervention group (P < 0.05). The HG group had significantly higher cell migration number than normal group (P < 0.05). However, migrated cell number in intervention group was reduced significantly (P < 0.05). In addition, high glucose also significantly enhanced the invasion of retinal endothelial cells (P < 0.05), which was inhibited after TTR intervention (P < 0.05). Moreover, Bcl-2 protein was significantly downregulated and Bax was upregulated in HG group compared to normal group (P < 0.05). Interestingly, their levels were normalized after TTR intervention without difference compared to their levels in normal group (P < 0.05). Consistently, the mRNA level of Bcl-2 and Bax showed similar expression profiles to the protein expression in different groups (P < 0.05). In conclusion, TTR can inhibit the retinal endothelial cell proliferation, migration and invasion ability and regulate Bcl-2/Bax expression.

show abstract

Screening for Diabetic Retinopathy with a Nonmydriatic Ultra-Wide-Field Retina Camera by Family Medicine Physicians

Cited by 4 publications

References 16 publications

Findings from a Statewide Teleretina Diabetic Retinopathy Screening Program in Arkansas

Findings from a Statewide Teleretina Diabetic Retinopathy Screening Program in Arkansas

Telemedicine in diabetic eye care: A meta-analysis of its effectiveness in underserved populations

The Effect of Thyroxin on the Biological Effects of High Glucose-Induced Human Retinal Endothelial Cells and B-Cell Lymphoma 2/Bcl-2 Associated X

Contact Info

Product

Resources

About