253653 A Novel Model for Detecting Diabetic Retinopathy: The INSIGHT Study of Opportunistic Screening of Persons with Diabetes

Wednesday, November 2, 2011: 10:00 AM

David Friedman, MD, MPh, PhD , The Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore
Julia Haller, MD , Ophthalmologist-in-Chief, Wills Eye Institute, Philadelphia, PA
David J. Lee, PhD , Epidemiology and Public Health, University of Miami, Miller School of Medicine, Miami, FL
Cynthia Owsley, PhD, MSPH , Department of Ophthalmology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL
Context: Multiple publications have documented that fewer than half of those diagnosed with diabetes are screened each year for diabetic retinopathy (DR). Rates are even lower among minorities. Objective: To develop an innovative approach to screening for DR. Design, Setting, and Participants: The INSIGHT group consists of four centers that will pilot similar novel approaches to screening for DR. Opportunistic screening will be carried out at locations where persons with diabetes are seen including pharmacies, laboratory settings, and community health centers targeting medically underserved communities. Non-mydriatic fundus photography with web-based image grading and visual acuity screening will identify those in need of care.

Main Outcome Measure: Feasibility of screening, successful referral, prevention of vision loss and costs involved. Results: Cameras have been selected as has the grading paradigm and the main data collection approach. Screening will begin in the fall of 2011 with a web-based grading system for images. Conclusions: A large number of those with diabetes do not receive DR screening according to guidelines. This novel approach has the potential to serve many who would otherwise be missed in the current system.

Learning Areas:
Chronic disease management and prevention

Learning Objectives:
Identify barriers and enablers to the delivery of efficacious and cost-effective eye care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I oversee projects and programs such as eye disease prevention at Johns Hopkins University.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.