Register      Login
Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
EDITORIAL

Assessing the unmet need for diabetic eye screening in regional Queensland

Alexander Bremner https://orcid.org/0000-0002-4857-6514 A * , David Squirrell https://orcid.org/0000-0002-8393-7100 A and Brett Sillars https://orcid.org/0009-0008-4249-2513 B
+ Author Affiliations
- Author Affiliations

A Ophthalmology Department, Caloundra Health Service, 2 West Terrace, Caloundra, Qld 4551, Australia. Email: david.squirrell@health.qld.gov.au

B Endocrinology Department, Sunshine Coast University Hospital, Birtinya, Qld 4575, Australia. Email: brett.sillars@health.qld.gov.au

* Correspondence to: alexander.bremner@uq.net.edu.au

Australian Health Review 49, AH25053 https://doi.org/10.1071/AH25053
Submitted: 11 March 2025  Accepted: 2 April 2025  Published: 23 April 2025

© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

Patients continue to self-present to ophthalmology with advanced diabetic retinopathy. An audit of people living with diabetes attending our regional diabetes clinic revealed a significant number had undetected vision-threatening diabetic retinopathy despite regular community optometry review. Further work is required to determine why and whether this is a more widespread issue.

Keywords: advanced diabetic eye disease, audit and quality assurance, diabetic eye screening program, diabetic retinopathy, ophthalmology, regional, retinal imaging, telemedicine, vision-threatening diabetic retinopathy.

References

Scanlon PH. The contribution of the English NHS Diabetic Eye Screening Programme to reductions in diabetes-related blindness, comparisons within Europe, and future challenges. Acta Diabetol 2021; 58(4): 521-530.
| Crossref | Google Scholar | PubMed |

Diabetes Australia. KeepSight program sees over 400,000 participants. 2024. Available at https://www.diabetesaustralia.com.au/mediarelease/keepsight-program-400000-participants/ [cited 15 January 2025].

Royal Australian and New Zealand College of Ophthalmologists. RANZCO Screening and Referral Pathway for Diabetic retinopathy (including Diabetic Maculopathy). 2019. Available at https://ranzco.edu/wp-content/uploads/2020/08/RANZCO-Screening-and-Referral-Pathway-for-Diabetic-Retinopathy_2022.pdf [cited 10 January 2025].

Chia MA, Taylor JR, Stuart KV, et al. Prevalence of Diabetic Retinopathy in Indigenous and Non-Indigenous Australians: A Systematic Review and Meta-analysis. Ophthalmology 2023; 130(1): 56-67.
| Crossref | Google Scholar | PubMed |