Diabetic retinopathy is the leading cause of blindness in working age adults in the US. The number of diabetics are increasing every year. A good percentage of these diabetics never get the annual full ophthalmology eye exam as recommended.
There are a number of reasons that the diabetic adult does not get this ophthalmology eye exam, including multiple physician visits. They often think they get the full eye exam when they get their glasses checked at the optometrist.
One of the key aspects of the ophthalmology visit is a dilate fudus exam because this is the gold standard for diagnosing diabetic retinopathy.
A significant amount of pathology can be observed in the posterior pole of the fundus, and this can be captured by an undilated thirty degree view. There is inexpensive portable technology that can take this picture of the fundus.
I propose that we place this portable technology in primary care and optometry clinics where diabetics can easily have the photo of their posterior fundus taken. The photos would still need to be read by a ophthalmologist.
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