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PERSPECTIVE
Year : 2020  |  Volume : 68  |  Issue : 13  |  Page : 74-77

A scalable, self-sustaining model for screening and treatment of diabetic retinopathy in rural Karnataka


1 Department of Vitreo-retina, Vittala International Institute of Ophthalmology; Manipal Academy of Higher Education, Manipal, Karnataka, Faculty Scientist, Institute of Bioinformatics; Vittala International Institute of Ophthalmology; Prabha Eye Clinic and Research Centre, Bangalore, Karnataka, India
2 Vittala International Institute of Ophthalmology; Prabha Eye Clinic and Research Centre, Bangalore, Karnataka, India
3 Vittala International Institute of Ophthalmology, Bangalore, Karnataka, India
4 Prabha Eye Clinic and Research Centre, Bangalore, Karnataka, India
5 Department of Ophthalmology, Government District Hospital, Tumkur, Karnataka, India
6 Indian Institute of Public Health-Bangalore, Public Health Foundation of India, Bangalore, Karnataka, India
7 Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, United Kingdom
8 Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, United Kingdom; Indian Institute of Public Health, Public Health Foundation of India, Hyderabad, Telangana, India

Correspondence Address:
Dr. Krishna R Murthy
Vittala International Institute of Ophthalmology, #1, 2nd Cross, 2nd Main, Hosakerehalli, Banashankari 3rd Stage, Bangalore - 560 085, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1943_19

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The Indian health infrastructure is struggling to handle the burgeoning number of people with diabetes. Managing the complications of diabetes in an organized manner through the government health programs is still a distant reality. Here, we describe a program aimed at addressing the problem of diabetic retinopathy in rural areas of Tumkur district in Karnataka. By amalgamating telescreening and our own novel distributive care model, we were able to screen 85% of the registered diabetics in the Government noncommunicable disease clinics and treat 95% of those needing laser therapy. We also describe the importance of using electronic medical records in public health programs which not only increase the efficiency in screening for disease but help in increasing uptake of treatment by tracking defaulters.


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