Telemedicine for diabetic retinopathy screening in an urban, insured population using fundus cameras in a primary care office setting

Jose Agustin Martinez, Pooja D. Parikh, Robert W. Wong, Clio A. Harper, James W. Dooner, Mark Levitan, Peter A. Nixon, Ryan C. Young, Shelley Day Ghafoori

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

BACKGROUND AND OBJECTIVE: This study examines the rate of adherence to recommended ophthalmology follow-up after primary care-based telemedicine diabetic retinopathy (DR) screening. PATIENTS AND METHODS: Retrospective observational study of 5,764 insured diabetic patients undergoing telemedicine DR screening between May 2015 and April 2017 in an urban primary care setting. Patients underwent non-mydriatic fundus photography for telemedicine DR screening. The main outcome measure was the “capture rate.” RESULTS: Of the patients studied, 31.7% were found to have any retinal pathology, and 20% were found to have DR. In the 11.8% percent of patients with sight-threatening retinopathy who were recommended to have a retinal examination, the capture rate was 81.9%. CONCLUSION: The authors' study demonstrated higher capture rate than has been previously reported, indicating that telemedicine DR screening in an urban, insured population may be a useful method for triaging high-risk patients without losing patients to follow-up.

Original languageEnglish (US)
Pages (from-to)E274-E277
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume50
Issue number11
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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