Seeing Eye to Eye:
An Ophthalmology-Primary Care Collaboration Emphasizing the Importance of Screening and Early Diagnosis of Retinopathy in Patients with Diabetes
Post-Test/Evaluation

Exit Survey

Questions marked with a * are required

40%

Contact Information

First Name

Last Name

Email Address

Credentials/Degree (MD, DO, etc.)

Date of Participation

Maria is a 43-year-old Hispanic female with a history of type 2 diabetes diagnosed 4 years ago. She has moved frequently for work during the last 3 years and has not had any routine diabetes follow-up in this time span. Her fingerstick blood sugar levels typically range between 150-200 mg/dL. Maria now presents to re-establish care. When should she be referred for a screening dilated eye exam?

Next year, as recommendations are to start 5 years after diabetes diagnosis

During current office visit

In 6 months, after optimizing her Hemoglobin A1c

How effective is timely treatment of diabetic retinopathy (DR) in preventing severe vision loss?

>75%

<80%

≥90%

During her visit, Maria reports that she travels frequently for work, so keeping scheduled appointments is difficult. Which of the following could be done to best help Maria overcome barriers to retinopathy screening?

In-office retinal photography with teleophthalmology image review

In-office ophthalmoscopy with referral to eye-care provider with daytime weekday appointments

In office retinal photography and referral to provider with daytime weekday appointments

How does vascular endothelial growth factor (VEGF) contribute to the pathophysiology of DR?

Overactivation of VEGF contributes to retinal vessel inflammation

Overproduction of VEGF results in vascular permeability and neovascularization

Suppression of VEGF leads to the development of vascular ischemia and edema

Maria underwent in-office retinal photography which identified severe nonproliferative DR with concurrent center-involved macular edema in her right eye and moderate nonproliferative DR in her left eye. Her visual acuity was 20/40 in her right eye and 20/25 in her left eye. What would be the next best step in management?

Observation, as her visual acuity does not indicate need for treatment

Pan retinal photocoagulation (PRP) in the right eye for macular edema

Anti-vascular endothelial growth factor (anti-VEGF) in her right eye for macular edema

What is your job role?

Retina Specialist

Ophthalmologist

Optometrist

Internist

Primary Care Physician

Hospitalist

Nurse

Nurse Practitioner

Physician Assistant

Other

What is your type of practice?

Hospital

Community/Private

Safety Net Provider

SNF/Nursing Home

Academic

HMO/MCO

Other

How many years have you been in practice?

Less than 5

5 to 9

10 to 15

More than 15

N/A

Please estimate the number of patients with diabetic retinopathy (DR) and/or diabetic macular edema (DME) that you provide for weekly:

Fewer than 5

5 to 10

11 to 15

16 to 20

21 to 30

31 to 50

>50

N/A