Open AccessFundus Photography as the Base of Three-Tier Diabetic Retinopathy Care System to Its Wider Roles: Learning from a Case Experience
Author(s) -
Madhur Dev Bhattarai,
Raba Thapa,
Manil Ratna Bajracharya,
Lochan Karki,
Binod Karki,
Alark Devkota Rajouria
Publication year - 2021
Publication title -
journal of nepal medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 19
eISSN - 1815-672X
pISSN - 0028-2715
DOI - 10.31729/jnma.5565
Subject(s) - medicine , diabetic retinopathy , fundus (uterus) , optometry , service (business) , fundus camera , fundus photography , health care , medical education , eye care , family medicine , nursing , ophthalmology , diabetes mellitus , visual acuity , ophthalmoscopy , retinal , economy , economic growth , fluorescein angiography , economics , endocrinology
A case experience of initiating the ocular fundus photography (OFP) service in a diabetes outpatient clinic of a tertiary-care institution is presented. In the community and within the hospitals, the OFP helps to develop the three-tier diabetic retinopathy (DR) care system comprising: OFP-based DR screening and monitoring, an experienced ophthalmologist in laser therapy, and vitreo-retina specialist services. After three to six months of training, non-ophthalmic allied health professionals could also grade the DR. We also learned that such training program, however, requires broadening to encompass diabetes and major non-communicable diseases comprehensively to fulfill the need of the primary care nurses in health care settings and the full-time job and professional career for them. Medical students and residents now need to be 'directly' trained in the interpretation of OFP. The stakeholders involved in public health and medical education may recommend to the public hospitals and medical colleges for the provision of OFP service.