Intervention includes screening eye exam using Optos technology

Retinal imaging using Optos technology to identify Diabetic Retinopathy

Number of photographs that are interpreted accurately by the family physicians when compared to the retinal specialist. These photographs are obtained using retinal imaging and after the initial read by the family physicians trained to interpret the images, the images will be reviewed by the retinal specialist to determine if the interpreted results are accurate.

Percentage increase in the screening rates for Diabetic Retinopathy using retinal imaging using OPTOS when compared with the traditional dilated eye exam.The current screening rate is around 55%.

Percentage change in patient satisfaction and how much are patients willing to pay out of pocket to screen for Diabetic Retinopathy using retinal imaging. Each patient will be surveyed and these questions will help determine patient satisfaction and their willingness to pay for this versus usual care. We will ask the following questions:

1. Did you find the Retinal Imaging an easy/efficient way of screening for eye disease as a result of having diabetes? Yes/No

2. If you had to pay for this out-of-pocket what is the maximum amount you would be willing to pay?

   1. $25
   2. $50
   3. $75
   4. $100
   5. >$100 This will help us determine the patient's level of satisfaction and their willingness to pay out of pocket for the service.