Screening Out Retinopathy: Pathways to Improving Diagnosis and Management in Patients with Diabetes
Post-Test/Evaluation

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Which of the following statements about diabetic retinopathy (DR) and rates of annual eye screening among racial/ethnic minorities are correct?

Advanced DR requiring ophthalmologic referral is similar to non-minorities

DR is not a prevalent eye problem among minorities

Rates of annual eye screening are low

Maria is a 52-year-old Hispanic female who has just been diagnosed type 2 diabetes mellitus (T2DM). What eye care recommendation and counseling do you provide regarding evaluation for retinopathy?

Referral for dilated eye exam in 3-6 months with education about glycemic control

Referral for prompt dilated eye exam with education about early diagnosis and prompt treatment being effective in preventing severe vision loss

Referral for visual acuity exam with education about lifestyle changes

John, a 60-year-old Black man with moderately controlled T2DM for 10 years, is diagnosed with DR through his local TeleEye Health Community Outreach retinopathy screening program. He was referred to a retina specialist. Further exam revealed proliferative diabetic retinopathy (PDR) with diabetic macular edema (DME) bilaterally; however, no evidence of hemorrhage and his best-corrected visual acuity (BCVA) is 20/50. John denies needing prescription glasses in the past, but currently uses over-the-counter reading glasses to see small print on his phone. John is recommended treatment of intravitreal anti-vascular endothelial growth factor (anti-VEGF) injections with aflibercept. All of the following would be appropriate measures as part of an individualized, team-based approach EXCEPT?

Considering dosing strategies to treat both PDR and DME

Multidisciplinary care for DR systemic risk factor management

Waiting to start treatment until John is more visually symptomatic

What is your job role?

Ophthalmologist

Optometrist

Nurse

Nurse Practitioner

Internist

Physician Assistant

Primary Care Physician

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