Evaluation and Referral of Diabetic Eye Disease in the Endocrinology and Primary Care Office Settings

Ophthalmic Surg Lasers Imaging Retina. 2016 Oct 1;47(10):930-934. doi: 10.3928/23258160-20161004-06.

Abstract

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 office 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 office visit with an endocrinologist or a PCP between January 1, 2014, and December 31, 2014, were identified. 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 office encounters, respectively (P < .0001). Past and/or future ophthalmology appointments were verified 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. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:930-934.].

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Diabetic Retinopathy / therapy*
  • Endocrinology*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Office Visits / statistics & numerical data*
  • Ohio
  • Practice Patterns, Physicians'*
  • Primary Health Care / methods*
  • Referral and Consultation*
  • Retrospective Studies
  • Young Adult