title: Evaluation and Referral of Diabetic Eye Disease in the Endocrinology and Primary Care Office Settings.
abstract: OBJECTIVE
  The purpose of this study was to identify whether endocrinologists and primary care physicians (PCP) adequately screen for ophthalmic symptoms/signs within office visits and provide timely ophthalmology referrals in patients with diabetes.
  
  
  METHODS
  Patients between the ages of 18 years and 80 years with diabetes who underwent an office visit with an endocrinologist or a PCP between January 1, 2014, and December 31, 2014, were identified. Demographics, ophthalmic assessments, and referral information were collected.
  
  
  RESULTS
  A total of 1,250 patient records were reviewed. Providers asked about ophthalmic symptoms/signs in 95.5% and 71% of endocrinology and primary care office encounters, respectively (P < .0001). Past and/or future ophthalmology appointments were verified in 86.1% and 49.7% of patients during endocrinology and PCP visits, respectively (P < .0001).
  
  
  CONCLUSIONS
  Ophthalmic complications from diabetes are not adequately screened, especially within the primary care setting, and further quality improvement measures may improve adherence to recommended screening protocols. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:930-934.].
authors.forename: Fabiana Q
authors.initials: FQ
authors.lastname: Silva
authors.forename: Mehreen
authors.initials: M
authors.lastname: Adhi
authors.forename: Karen M
authors.initials: KM
authors.lastname: Wai
authors.forename: Leann
authors.initials: L
authors.lastname: Olansky
authors.forename: M Cecilia
authors.initials: MC
authors.lastname: Lansang
authors.forename: Rishi P
authors.initials: RP
authors.lastname: Singh
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003930:Diabetic Retinopathy / Q000628:therapy*; D004704:Endocrinology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009819:Office Visits / Q000706:statistics & numerical data*; D009820:Ohio; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000379:methods*; D012017:Referral and Consultation; D012189:Retrospective Studies; D055815:Young Adult