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Research Letters |

Telemedicine and Retinal Imaging for Improving Diabetic Retinopathy Evaluation

Seema Garg, MD, PhD; Pooja D. Jani, MD; Abhijit V. Kshirsagar, MD, MPH; Bradley King, MD, MPH; Edward Chaum, MD, PhD
Arch Intern Med. 2012;172(21):1677-1680. doi:10.1001/archinternmed.2012.4372.
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Early detection of diabetic retinopathy (DR) is crucial to prevent blindness. Timely intervention with laser therapy can reduce the risk of severe vision loss by more than 90%.1 Despite well-accepted national and international guidelines, on average, less than 50% of patients with diabetes mellitus (DM) undergo screening for retinopathy in the United States.23 Barriers to care include socioeconomic factors, geography, lack of patient education, and cultural barriers among minorities.

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Figure. Percentage of patients with a documented retinal examination over a 12-month period in a University of North Carolina primary care clinic.

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