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Ophthalmology

Ophthalmology and Eye Disease in Diabetes: Diabetic eye disease can be devastating, leading to severe vision impairment or blindness. While retinopathy is most common, other problems common to diabetics include glaucoma, macular edema, and cataract. Educating your diabetes patients to get an annual, comprehensive eye exam can help them reduce the risk of these and other eye issues. You’ll find the latest insights to protect your patients here and in our weekly newsletters.

Counterpoint: The Pros and Cons of AI-based “Diagnosis” of Diabetic Retinopathy

By A. Paul Chous, MA, OD, FAAO, CDE

The FDA just gave first approval to an artificial intelligence (AI) algorithm for the detection of diabetic retinopathy in the offices of non-ophthalmic health care practitioners. Dubbed the IDx-DR (IDx, LLC, Coralville, Iowa), and paired with a Topcon NW400 non-mydriatic retinal camera, captured images are sent to a cloud-based server that utilizes the IDx-DR software and a ‘deep learning’ algorithm to detect retinal findings consistent with diabetic retinopathy based on autonomous comparison with a large dataset of representative fundus images.

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2017 ADA Position Statement on Diabetic Retinopathy

This represents the first such update by the American Diabetes Association since 2002, and is notable for inclusion of the latest evidence and recommendations with respect to appropriate eye examination intervals, referral criteria, prevention of incidence and progression of diabetic retinopathy (DR), and treatment strategies.

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