TY - CHAP M1 - Book, Section TI - Teleophthalmology A1 - Zhang, Alice Yang A1 - Yoon, Christine Y. A1 - Zimmer-Galler, Ingrid E. A2 - Rheuban, Karen Schulder A2 - Krupinski, Elizabeth A. PY - 1 T2 - Understanding Telehealth AB - PG is a 56-year-old male with a 17-year history of suboptimally controlled type 2 diabetes mellitus. He has always had good vision and requires only over-the-counter reading glasses. Because of the inconvenience of having his pupils dilated and because he has no vision symptoms, he has not had an eye examination for diabetic retinopathy in more than 7 years. Recently his primary care physician began offering screening evaluations for diabetic retinopathy. At a regularly scheduled primary care follow-up visit, PG elected to have nonmydriatic (with undilated pupils) retinal photographs taken. The images were sent to a remote reading center for evaluation by an ophthalmologist. A report was returned to the primary care physician the next day with a diagnosis of high-risk proliferative diabetic retinopathy in the right eye and severe nonproliferative diabetic retinopathy in the left eye ( Figure 7-1 ). He was immediately referred to a retina specialist and underwent panretinal laser photocoagulation in the right eye within the following 2 weeks. He now understands the severity of his eye disease and regularly returns to his retina specialist for follow-up and management of his diabetic retinopathy. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1153060181 ER -