November 1, 2016
Most Diabetes Patients Skip Eye Exams
This is something I do not understand. Why about 60 percent of people with diabetes do not have annual eye exams is a real puzzle. I was told to have an eye exam shortly after being diagnosed with type 2 diabetes. I had my exam within 4 months and would not have changed doctors if it had not been for a change in prescriptions that the office would not make right after giving me glasses that were creating vision problems.
I was fortunate when I changed eye doctors and the eye doctor could see what was causing the problem and ordered me a new set of glasses that really helped me. I have stayed with this office and have received the care I needed.
People with diabetes are at increased risk of developing serious eye diseases, yet most do not have sight-saving annual eye exams, according to a large study presented this week at AAO 2016, the 120th annual meeting of the American Academy of Ophthalmology. This is especially timely as the Academy is reiterating the importance of eye exams during the month of November, which is observed as Diabetic Eye Disease Awareness Month.
Researchers at Wills Eye Hospital in Philadelphia have found that more than half of patients with the disease skip these exams. They also discovered that patients who smoke as well as those with less severe diabetes and no eye problems were most likely to neglect having these eye exams.
The researchers collaborated with the Centers for Disease Control and Prevention to review the charts of close to 2,000 patients age 40 or older with type 1 and type 2 diabetes to see how many had regular eye exams. Their findings over a four-year period revealed that:
• Fifty-eight percent of patients did not have regular follow-up eye exams
• Smokers were 20 percent less likely to have exams
• Those with less-severe disease and no eye problems were least likely to follow recommendations
• Those who had diabetic retinopathy were 30 percent more likely to have follow-up exams
One in 10 Americans has diabetes, putting them at heightened risk for visual impairment due to the eye disease diabetic retinopathy. The disease also can lead to other blinding ocular complications if not treated in time – think cataracts, glaucoma, and a few others. Fortunately, having a dilated eye exam yearly or more often can prevent 95 percent of diabetes-related vision loss.
Eye exams are critical as they can reveal hidden signs of disease, enabling timely treatment. This is why the Academy recommends people with diabetes have them annually or more often as recommended by their ophthalmologist, a physician who specializes in medical and surgical eye care.
"Vision loss is tragic, especially when it is preventable," said Ann P. Murchison, M.D., MPH, lead author of the study and director of the eye emergency department at Wills Eye Hospital. "That's why we want to raise awareness and ensure people with diabetes understand the importance of regular eye exams."
The Academy has released a new animated public service announcement to help educate people about the importance of regular exams and common eye diseases including diabetic retinopathy. It encourages the public to watch and share it with their friends and family.
"People with diabetes need to know that they shouldn't wait until they experience problems to get these exams," Rahul N. Khurana, M.D, clinical spokesperson for the Academy. "Getting your eyes checked by an ophthalmologist can reveal the signs of disease that patients aren't aware of."
American seniors 65 and older may be eligible to get a medical eye exam at no cost through Eye Care America, a public service program of the Academy.