We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

Telemedicine and Eye Examinations for Diabetic Retinopathy A Time to Maximize Real-World Outcomes

Paolo S. Silva, MD1,2; Lloyd Paul Aiello, MD, PhD1,2
[+] Author Affiliations
1Beetham Eye Institute, Joslin Diabetes Center, Boston, Massachusetts
2Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts
JAMA Ophthalmol. 2015;133(5):525-526. doi:10.1001/jamaophthalmol.2015.0333.
Text Size: A A A
Published online


A fundamental aspect of eye care and the long-term prevention of vision loss for patients with diabetes mellitus involves the identification of specific retinal pathologies and the subsequent determination of the severity of diabetic retinopathy. Traditionally, this has been accomplished through individualized assessments by experienced eye care professionals, preferably following pupillary dilation. However, given that it is estimated that there will be more than half a billion persons with diabetes by 2030, necessitating nearly 2000 eye examinations per minute just to evaluate those in need once every year, this approach to retinal evaluation is unlikely to be sustainable by health care systems globally. Furthermore, despite multiple national and international initiatives to increase access and promote awareness regarding the need for eye examinations for all persons with diabetes, only approximately 18% to 60% of persons undergo examinations that attain the recommended ocular examination guidelines.

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections