Evaluation and referral of diabetic eye disease in the endocrinology and primary care offce settings

Fabiana Q. Silva, Mehreen Adhi, Karen M. Wai, Leann Olansky, M. Cecilia Lansang, Rishi P. Singh

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


BACKGROUND AND OBJECTIVE: The purpose of this study was to identify whether endocrinologists and primary care physicians (PCP) adequately screen for ophthalmic symptoms/signs within offce visits and provide timely ophthalmology referrals in patients with diabetes. PATIENTS AND METHODS: Patients between the ages of 18 years and 80 years with diabetes who underwent an offce visit with an endocrinologist or a PCP between January 1, 2014, and December 31, 2014, were identifed. Demographics, ophthalmic assessments, and referral information were collected. RESULTS: A total of 1,250 patient records were reviewed. Providers asked about ophthalmic symptoms/signs in 95.5% and 71% of endocrinology and primary care offce encounters, respectively (P <.0001). Past and/or future ophthalmology appointments were verifed in 86.1% and 49.7% of patients during endocrinology and PCP visits, respectively (P <.0001). CONCLUSIONS: Ophthalmic complications from diabetes are not adequately screened, especially within the primary care setting, and further quality improvement measures may improve adherence to recommended screening protocols.

Original languageEnglish (US)
Pages (from-to)930-934
Number of pages5
JournalOphthalmic Surgery Lasers and Imaging Retina
Issue number10
StatePublished - Oct 2016
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology


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