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Related Concept Videos

The Retina01:32

The Retina

The retina is a layer of nervous tissue at the back of the eye that transduces light into neural signals. This process, called phototransduction, is carried out by rod and cone photoreceptor cells in the back of the retina.
Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...

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The Toronto Tele-Retinal Screening Program for the Elderly in Long-Term Care: A Pilot Project.

Michelle Lim1, Tina Felfeli2,3, Winnie Mangubat4

  • 1Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

Clinical Ophthalmology (Auckland, N.Z.)
|December 25, 2024
PubMed
Summary

Tele-retinal screening in long-term care facilities is feasible and necessary for elderly patients with diabetes. This pilot program successfully screened residents, identifying urgent cases and demonstrating high patient satisfaction.

Keywords:
diabeteselderly carehealthcare accessibilityretinopathytelemedicineteleophthalmology

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Area of Science:

  • Ophthalmology
  • Geriatrics
  • Telemedicine

Background:

  • Elderly individuals in long-term care facilities often have chronic conditions like diabetes, increasing their risk for eye diseases.
  • Routine eye care is crucial for this population but can be challenging to access due to mobility and logistical issues.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of a pilot tele-retinal screening program expansion.
  • To assess the effectiveness of teleophthalmology in a long-term care setting for elderly patients with Type II diabetes mellitus.

Main Methods:

  • A pilot expansion of the Toronto Tele-Retinal Screening Program was conducted in a long-term care home.
  • Retinal imaging was performed on Type II diabetes mellitus patients between April 1, 2022, and July 1, 2022.
  • Demographic and health data were collected via surveys, and patient experiences were recorded.

Main Results:

  • 85.7% of 28 screened patients successfully underwent retinal imaging.
  • Identified pathologies included uncontrolled glaucoma (4.1%), non-proliferative diabetic retinopathy (8.3%), and age-related macular degeneration (45.8%).
  • The handheld camera was effective for patients with mobility issues (60% success rate), and 90% of patients reported a positive experience.

Conclusions:

  • Teleophthalmology is a feasible and patient-friendly alternative for routine eye care in long-term care facilities.
  • This program highlights the need for accessible eye care in the elderly and can help reduce healthcare disparities.
  • Future teleophthalmology policies should address the specific needs of long-term care residents.