1 / 14

Bradley R. Straatsma MD, JD Jules Stein Eye Institute

The Challenge of Diabetic Retinopathy. Bradley R. Straatsma MD, JD Jules Stein Eye Institute. Diabetes and Diabetic Retinopathy. Worldwide health problems China. 92.4 million diabetics Saudi Arabia. Diabetes affecting 13.6% of population Yang et al. 2010

barbie
Download Presentation

Bradley R. Straatsma MD, JD Jules Stein Eye Institute

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Challenge of Diabetic Retinopathy Bradley R. Straatsma MD, JD Jules Stein Eye Institute

  2. Diabetes and Diabetic Retinopathy • Worldwide health problems • China. 92.4 million diabetics • Saudi Arabia. Diabetes affecting 13.6% of population Yang et al. 2010 World Health Organization, 2011

  3. Diabetes and Diabetic Retinopathy • United States - 23.5 million diabetics - 40% of diabetics have retinopathy - Diabetes is the leading cause of new blindness in adults 20 – 74 years of age Hazin et al. 2010

  4. Randomized Clinical Trials • Control of glycemia (A1c ≤ 7.2%), serum lipids and blood pressure prevent onset and retard progression of retinopathy • Treatment of proliferative retinopathy and macular edema decrease vision loss Hazen et al. 2011

  5. ICO Response • Collaborate with WHO and ophthalmology societies • Advocate for National Health Plans that provide adequate care for diabetes and diabetic retinopathy

  6. ICO Response • Support population-based programs that detect and treat diabetic retinopathy regardless of patient ability to pay • Admirable programs at Aravind, Peking University and other institutions Peking University

  7. ICO Response • Encourage use of Internet and personalized medicine to improve care of diabetes and retinopathy • Recognize transformative technology of data processing, data storage and wireless communication

  8. Transformative Technology • Data processing. iPhone has computer processing power > 1970s IBM Mainframe • Data storage. Internet is migrating to the “cloud” with thousands of data storage units • Wireless revolution. Enables a billion people to communicate in real time Mills and Ottino, 2012

  9. Transformative Technology • Costs have decreased and Internet access is global • Sub-Saharan Africa population with mobile phone subscriptions 2012 – 42% 2020 – 70% Euromonitor International, 2012

  10. SightBook™ • Free application on iPhone, iPad and Mac computer • Provides a secure Internet channel of communication and data for a diabetic patient and designated physicians

  11. SightBook™ • Patient - Sends visual acuity test results - Receives Hbg A1c, serum lipids and blood pressure reports - Receives fundus photographs - Receives treatment recommendations

  12. SightBook™ • Diabetes Physician - Sends Hbg A1c, serum lipids and blood pressure reports - Sends treatment recommendations • Ophthalmologist - Sends fundus photos and interpretation - Sends recommendations

  13. Personalized Medicine • SightBook™ and similar Internet applications are suitable for a limited but growing number of patients • Personalized medicine increases communication and patient motivation to improve management of diabetes and retinopathy

  14. Summary – ICO Response • Collaborate to form National Health Plans for diabetes and retinopathy • Support population-based programs to detect and treat diabetic retinopathy • Encourage Internet programs and personalized medicine to improve management of diabetes and retinopathy

More Related