Patient receives retinal exam with handheld Intelligent Retinal Imaging System. (WVU Photo)

WVU project sets sights on preventing blindness in diabetic patients

When people think about the management of diabetes, A1C (hemoglobin) tests and foot exams usually come to mind. Often overlooked is the recommended retinal eye exam. This eye exam is crucial because many West Virginians with diabetes are at risk for blindness caused by diabetic retinopathy.

West Virginia University doctors are now at the forefront of detecting and spreading awareness of this complication that’s the leading cause of blindness for people ages 20 to 65 in the United States.

The West Virginia Practice-Based Research Network’s Sight Outreach Program, an effort of the West Virginia Clinical and Translational Science Institute, trains primary care clinical staff members across the state to use the Intelligent Retinal Imaging System to quickly capture images of the patient’s retinas.

“Patients with diabetes are supposed to get an eye evaluation annually, however, in West Virginia only about 60 percent received eye care in the past year,” said Dr. William Lewis, family medicine physician at Harpers Ferry Family Medicine and WVPBRN co-director. “This IRIS program removes barriers to access that often prevent people from getting these exams and can help us bring the best care possible to persons with diabetes.”

It is projected that one in three Americans with diabetes will experience diabetic retinopathy by the year 2050. While the projection may be frightening, early detection reduces the risk of severe vision loss by 90 percent.

The speed and ease of use makes the IRIS program convenient for both providers and patients. During routine primary care visits in participating clinics across the state, providers take a photograph of the patient’s retina. This finely detailed image is then securely transmitted to a retinal specialist at the WVU Eye Institute. The entire procedure takes less than five minutes for most patients.

After receiving the images, ophthalmologists analyze them for any evidence of ophthalmic pathology and deliver results directly to the patient’s electronic medical record. The primary care providers also receive recommended care plans and referral paths if indicated.

“IRIS not only helps us treat our patient’s eyes, it helps us comprehensively treat the whole patient,” Lewis said. “If we detect early-stage retinopathy, we know we need to be more aggressive with the management of our patient’s diabetes.”

To date, more than 5,400 patients have been screened across the 10 participating WVPBRN sites including WVU Medicine outpatient clinics in Morgantown, Fairmont, Reedsville and Harpers Ferry, as well as multiple Community Care of West Virginia and Valley Health Systems sites. Of those, approximately 21 percent had evidence of diabetic retinopathy. Moreover, the IRIS scan detected other ophthalmic pathology such as glaucoma, cataracts or macular degeneration in 28 percent of scanned patients.

The data provided by the project not only led to patient improvements, but also impacted practice and policy across the state. IRIS results have influenced West Virginia Medicaid, the Public Employees Insurance Agency and Highmark policies.

“I cannot state enough regarding the positive impact that this program is having for West Virginia residents,” said Dr. Sally Hodder, WVCTSI director and associate vice president for clinical and translational science at WVU. “Not only is it preventing blindness and improving outcomes for diabetic patients, but the practice and policy changes that have been generated will improve early detection of ophthalmic pathology in the future.”

WVCTSI Background

WVCTSI is funded by an IDeA Clinical and Translational grant from the National Institute of General Medical Sciences (U54GM104942) to support the mission of building clinical and translational research infrastructure and capacity to impact health disparities in West Virginia.

Featured

SHOPS & SERVICES

Buckhannon man held on $100,000 bail after being arrested on multiple drug charges

BUCKHANNON – A Buckhannon man was arrested Saturday after several illegal substances were allegedly found in his residence. Bryan Shaw, 41, of Buckhannon, was arrested for possession with intent to deliver methamphetamine, possession with intent to deliver heroin, possession with […]

Become a premium member to unlock immediate access to this story and thousands more. Plus you’ll wake up every morning to our email edition. Your subscription supports local news by local writers. Signing up is easy — just tap the button below!

Buckhannon City Council approves $6.5 million-dollar budget prioritizing public safety, infrastructure

BUCKHANNON – City council passed the largest budget in Buckhannon’s history Tuesday, with the two largest allocations once again earmarked for public safety operations and infrastructure maintenance, respectively. At its March 14 meeting – rescheduled from March 16 due to […]

Become a premium member to unlock immediate access to this story and thousands more. Plus you’ll wake up every morning to our email edition. Your subscription supports local news by local writers. Signing up is easy — just tap the button below!

Police arrest man they say was the driver in 2022 pursuit that ended in a wreck with two people ejected

BUCKHANNON – A Rock Cave man was arrested for allegedly fleeing from police officers in a vehicle, injuring himself and a passenger. Elijah Carpenter, 27, of Rock Cave was arrested Thursday for fleeing from an officer and fleeing or attempting […]

Become a premium member to unlock immediate access to this story and thousands more. Plus you’ll wake up every morning to our email edition. Your subscription supports local news by local writers. Signing up is easy — just tap the button below!

SHOPS & SERVICES

Softball Lady Bucs get one-hit by Lincoln’s Haller in debut in 10-0 setback

TENNERTON – For their season opener, the Buckhannon-Upshur softball Lady Bucs ran into one of the top pitchers in the state in Lincoln’s Delaney Haller. Haller was the Big 10 Conference Pitcher of the Year last season and was captain […]

Become a premium member to unlock immediate access to this story and thousands more. Plus you’ll wake up every morning to our email edition. Your subscription supports local news by local writers. Signing up is easy — just tap the button below!

Baseball ‘Cats get home doubleheader split with ABU

BUCKHANNON, W.Va. – The West Virginia Wesleyan baseball team split with the Alderson Broaddus Battlers Monday, winning 7-2 in the first game and losing 7-0 in the second game. The bats were alive in Game

Inexperienced tennis Bucs fall in first two outings of 2023 season

BRIDGEPORT – The Buckhannon-Upshur tennis Buccaneers dropped their first two outings of the year last week. They opened their season at home last Thursday with a 7-0 setback to Robert C. Byrd and then went to Bridgeport Saturday and dropped […]

Become a premium member to unlock immediate access to this story and thousands more. Plus you’ll wake up every morning to our email edition. Your subscription supports local news by local writers. Signing up is easy — just tap the button below!

Lady Buc netters open season with win over Robert C. Byrd and narrow loss to John Marshall

BRIDGEPORT – The Buckhannon-Upshur Lady Buc tennis team is off to a 1-1 start to the season and was just an eyelash away from being a perfect 2-0. The Lady Bucs hosted Robert C. Byrd last Thursday and won a […]

Become a premium member to unlock immediate access to this story and thousands more. Plus you’ll wake up every morning to our email edition. Your subscription supports local news by local writers. Signing up is easy — just tap the button below!

SHOPS & SERVICES

Working in service: WVU research reaches all of West Virginia

Breakthroughs and research expertise nurtured at West Virginia University extend far beyond its labs, experimental sites and classrooms. In fact, WVU research efforts are unique compared to most universities, according to Vice President for Research Fred King. “While

Fairmont State University selects 2023 Presidential Scholarship winners

Three incoming Fairmont State University freshmen have been selected as the recipients of Fairmont State’s premier academic scholarship, the Charles J. McClain Presidential Scholarship. Sophie Stuart from Jefferson High School (Charles town, W.VA), Hailey Jordan

WVDEP hosting students on World Water Day

CHARLESTON, WV – In an effort to enrich students’ understanding of the importance of clean water, the West Virginia Department of Environmental Protection (WVDEP) is hosting a water education event for area grade schools on