08/11/2025
Addressing Gaps in Diabetic Retinopathy Screening: Lessons from an Outpatient Podiatry Clinic
By Dr. MelissaTripoli, MD BC Ophthalmology
As ophthalmologists, we know that diabetic retinopathy (DR) remains one of the leading causes of preventable vision loss among working-age adults. Yet, despite its severity, many patients remain undiagnosed or lost to ophthalmic care.
A recent study out of the University of Pittsburgh, from an outpatient podiatry clinic, highlights a concerning reality. In this study, over half of the patients with diabetic foot disease also had DR, with 29% newly diagnosed through point-of-care retinal imaging.
Perhaps the most alarming thing was that nearly 50% were lost to follow-up, citing barriers such as financial constraints, competing health issues, and access challenges that delayed or prevented routine eye care.
Many diabetics are missing a critical health screening and potentially missing an opportunity to diagnose and treat a vision-threatening disease. We know that diabetic patients are more likely to have multiple clinical follow-up appointments. This study underscores a critical opportunity: integrating retinal imaging into outpatient primary care and other clinics where diabetics are already going, can vastly improve DR detection in high-risk populations. Early diagnosis and intervention are key to preventing progression to vision-threatening stages.
At https://hubs.li/Q03C9gWv0, we’re committed to bridging this gap by enabling simple, efficient retinal screening in the outpatient setting. By addressing barriers to care and bringing advanced imaging directly to where patients already are, we can significantly reduce preventable blindness.
Let’s work together to make routine screening accessible, proactive, and integrated across the healthcare spectrum. Because every pair of eyes deserves the chance to see clearly tomorrow.
Larimer-Picciani AM, Brown RB, Ruan H, Jones CE, DeBlasio RN, Burns PR, Williams AM, Waxman EL. High Prevalence of Diabetic Retinopathy in an Outpatient Podiatry Clinic and Associated Barriers to Ophthalmic Care. Clin Ophthalmol. 2025 Feb 14;19:553-561. doi: 10.2147/OPTH.S499098. PMID: 39967787; PMCID: PMC11834659.