Retina scanning is live at GIMC! Screening for diabetic retinopathy saves patients’ vision, and we can now do it right in clinic. Barak sent an email this week with the how-to, here’s a quick review:
– Enter an order in Epic by typing “Retina.” Choose either:
1. Screening (if no known retinopathy), or
2. Monitoring (if known retinopathy)
– MA walks the patient to the camera near the south hallway (next to exam rooms 1-3)
– Results are reported to the ordering provider’s Epic InBasket with clear instructions for next steps
A few reminders:
– Retina screening should happen once every 1-2 years
– Retina screening at GIMC (without eye dilation!) is recommended if your patient:
— doesn’t have eye symptoms of any kind
— doesn’t have other eye conditions (ex. glaucoma, macular degeneration
– If your patient has any eye symptoms, or your patient has a chronic eye condition which needs eye clinic management: then DO NOT order retina screen at GIMC. Instead send a referral for the patient to have an in-person evaluation in the Eye Center.
Quick primer on the stages of diabetic retinopathy:
1. Non-proliferative – this is the early stage. Non-proliferative can be mild, moderate, or severe.
2. Proliferative – this is vision-threatening (ischemia present) – Needs treatment.
3. Macular edema – can be present with either Non-prolif or Prolif. Needs treatment.
Typical follow-up recommendations by type of finding:
– If no retinopathy or mild/moderate-non-proliferative retinopathy: repeat scan in 1 year.
– If macular edema or severe non-proliferative or proliferative retinopathy: refer to Eye Clinic