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Evaluation of Diabetic Teleretinal Imaging Program at Portland VA Medical Center

This study aims to evaluate the efficiency of a diabetic teleretinal imaging program at Portland VA Medical Center's outpatient clinics for early diagnosis and treatment of diabetic retinopathy. Results show successful screening and referral rates, indicating program effectiveness in preventing blindness.

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Evaluation of Diabetic Teleretinal Imaging Program at Portland VA Medical Center

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  1. Assessment of diabetic teleretinal imaging program at the Portland Department of Veterans Affairs Medical Center Grace L. Tsan, OD; Keely L. Hoban, OD; Weon Jun, OD, FAAO; Kevin J. Riedel, OD; Amy L. Pedersen, OD; John Hayes, PhD

  2. Aim • Assess effectiveness of diabetic teleretinal imaging program at Portland VA Medical Center outpatient clinics. • Relevance • Early diagnosis and treatment of diabetic retinopathy (DR) is important, because treatment is 90% effective in preventing blindness.

  3. Method • Retrospective chart review of 200 diabetic patients who had teleretinal imaging performed between January 1, 2010, and January 1, 2011, at Portland VA Medical Center outpatient clinics.

  4. Results • Patients with DR = 20 (10%). • Teleretinal imaging studies of adequate quality for interpretation = 90%. • Patients referred by image readers to eye clinics for exams = 97.5%. • Patients actually scheduled = 80%. • Redundancy rate = 11%. • Patients who had eye exam within past 6 mo. • Duplicate recall rate = 37%. • Patients who had 2nd teleretinal imaging within 1 yr of eye exam. • Rates of timely diabetic eye exams at clinics with tele-retinal imaging programs, particularly when imaging and eye clinics were at same clinic, were higher than rates for clinics without.

  5. Conclusion • Portland VA Medical Center’s teleretinal imaging program was successful in increasing DR screening rate.

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