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A Multi-Center Diabetes Eye Screening Study in Community Settings: Study Design and Methodology
Ann P Murchison1, David S Friedman2, Emily W Gower2,3
1a Wills Eye Hospital , Thomas Jefferson University , Philadelphia , PA , USA.
Ophthalmic Epidemiology
|March 8, 2016
Summary
The Diabetic Eye Screening Study (DESS) assessed non-mydriatic diabetic retinopathy (DR) screening in community settings. This study demonstrated the feasibility of DR screening for diabetic patients in diverse clinical environments.
Area of Science:
- Ophthalmology
- Public Health
- Diabetes Management
Background:
- Diabetes is a leading cause of adult blindness in the U.S.
- Diabetic retinopathy (DR) is a major complication of diabetes.
- Early detection and screening are crucial for preventing vision loss.
Purpose of the Study:
- To evaluate the feasibility and short-term effectiveness of non-mydriatic DR screening.
- To assess DR screening in community-based settings for adults with diabetes.
- To determine the utility of non-mydriatic retinal photography in primary care.
Main Methods:
- The Diabetic Eye Screening Study (DESS) enrolled adults with diabetes at four diverse community sites.
- Non-mydriatic retinal photography was used for DR screening, preceded by a questionnaire and visual acuity measurement.
- Images were evaluated at a telemedicine center, and participants/physicians received results.
Main Results:
- Three out of four sites met the target enrollment of 500 participants.
- The study successfully implemented DR screening in community settings.
Conclusions:
- The Innovative Network for Sight Research (INSIGHT) / DESS confirmed the feasibility of non-mydriatic DR screening.
- This approach is effective for diabetic patients in community clinics and pharmacies.
- Community-based screening can improve access to DR detection and eye care.
