Diabetic Macular Edema Clinical Trial
Official title:
To Understand the Barriers and Facilitators of Diabetic Retinopathy Screening & Follow-up: An Exploratory Study From India and Thailand
Brief Summary: Diabetic retinopathy (DR) is a leading cause of visual impairment and has
major public health implications globally and especially in countries such as India where the
prevalence of diabetes is high. With timely screening and intervention, the disease
progression to blindness can be prevented but several barriers exist to the provision of
care. The long term aim is to identify the barriers to DR screening and to plan potential
interventional strategies. From the qualitative study, the reasons such as lack of awareness
or knowledge, distance to travel, lack of reminder system were identified as a reason for
poor follow-up. This lead to the development of interventional strategies.
This was a randomized, investigator-masked clinical trial that was conducted in a tertiary
eye care centre in South India. Consecutive patients with diabetes who were residents in
Chennai and its vicinity of approximately 100 km radius and who were undergoing repeated
intravitreal injections for DME were recruited into the trial. The aim of the study is to
investigate the effect of SMS informational reminders among patients with Diabetic macular
edema for the follow-up. They study consists of 2 groups, SMS reminder group receives the
reminders 1 week and 2 days prior to the scheduled appointments with the concerned doctor on
a particular date and time, whereas other group does not receive any reminders for the
appointment schedule. After the follow-up, the patients will be screened for the attendance
at the review visit.
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