Diabetic Macular Edema, Mild Nonproliferative Diabetic Retinopathy, Moderate Nonproliferative Diabetic Retinopathy, Proliferative Diabetic Retinopathy, Severe Nonproliferative Diabetic Retinopathy
Conditions
Brief summary
The purpose of this study is explore if a partnership and screening program put in place between a busy retina practice and their referring diabetes care offices can improve diabetic retinopathy and diabetic macular edema diagnosis, care and overall diabetes control in patients with diabetic eye disease.
Detailed description
Retina Institute of Hawaii will place an infrastructure to screen for diabetic retinopathy/diabetic macular edema in 5 of the states largest Primary Care Clinics, General Medical and or Endocrine practices which re our primary referrals for diabetes patients. Each Sub-site will receive a DRS Automated Retinal Camera and our staff will train the sub-site's staff on taking images. The submission of these images to our practice will be administered by an automated job scheduler in the DRS Automated Retinal Camera removing the requirement of the locations to send images. Images will be electronically uploaded and sent to the Retina Institute of Hawaii for detailed interpretation and report sent back to the patients, their diabetes care MD's and their nurse practitioners/diabetic educators.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients diagnosed with diabetes that have not seen an Ophthalmologist in the past 1 year
Exclusion criteria
* Patients with diabetes already under the care of an Ophthalmologist. * Patient not willing to give Consent for participation in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| % change in Diabetic Retinopahy/Diabetic Macular Edema diagnosis with pre-screening system compared to post-screening system | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Change in HgA1C from Primary Care Physician referral to post retinal specialist visit | six months |
Other
| Measure | Time frame |
|---|---|
| Time from PCP referral for patient to see an ophthalmologist and appointment with retinal specialist | 6 months |
Countries
United States