Publication:
Fundus Photography as the Base of Three-Tier Diabetic Retinopathy Care System to Its Wider Roles: Learning from a Case Experience

Simple item page
creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorBhattarai, Madhur Dev
dc.contributor.authorThapa, Raba
dc.contributor.authorBajracharya, Manil
dc.contributor.authorKarki, Lochan
dc.contributor.authorKarki, Budda
dc.contributor.authorRajouria, Alark D
dc.date.accessioned2026-03-19T07:02:06Z
dc.date.available2026-03-19T07:02:06Z
dc.date.issued2021
dc.descriptionMadhur Dev Bhattarai Ex-unit chief Bir Hospital, Nepal Diabetes Association, Kathmandu, Nepal https://orcid.org/0000-0003-0872-1446 Raba Thapa Tilganga Institute of Ophthalmology, Kathmandu, Nepal https://orcid.org/0000-0003-4153-2663 Manil Bajracharya Bir Hospital, National Academy of Medical Sciences, Kathmandu, Nepal Lochan Karki Bir Hospital, National Academy of Medical Sciences, Kathmandu, Nepal Budda Karki Bir Hospital, National Academy of Medical Sciences, Kathmandu, Nepal Alark D Rajouria Bir Hospital, National Academy of Medical Sciences, Kathmandu, Nepal
dc.description.abstractAbstract: A case experience of initiating the ocular fundus photography (OFP) service in a diabetes outpatient clinic of a tertiary-care institution is presented. In the community and within the hospitals, the OFP helps to develop the three-tier diabetic retinopathy (DR) care system comprising: OFP-based DR screening and monitoring, an experienced ophthalmologist in laser therapy, and vitreo-retina specialist services. After three to six months of training, non-ophthalmic allied health professionals could also grade the DR. We also learned that such training program, however, requires broadening to encompass diabetes and major non-communicable diseases comprehensively to fulfill the need of the primary care nurses in health care settings and the full-time job and professional career for them. Medical students and residents now need to be ‘directly’ trained in the interpretation of OFP. The stakeholders involved in public health and medical education may recommend to the public hospitals and medical colleges for the provision of OFP service.
dc.identifierhttps://doi.org/10.31729/jnma.5565
dc.identifier.urihttps://hdl.handle.net/20.500.14572/5230
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectdiabetes
dc.subjectdiabetic retinopathy
dc.subjectfudus photography
dc.subjectNCD
dc.subjectWHO PEN
dc.titleFundus Photography as the Base of Three-Tier Diabetic Retinopathy Care System to Its Wider Roles: Learning from a Case Experience
dc.typeArticle
dspace.entity.typePublication
local.article.typeViewpoint
oaire.citation.endPage107
oaire.citation.startPage100
relation.isJournalIssueOfPublication7111f555-2f2c-4c51-b511-f1e3a80bdcac
relation.isJournalIssueOfPublication.latestForDiscovery7111f555-2f2c-4c51-b511-f1e3a80bdcac
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
100-107.pdf
Size:
441.58 KB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.86 KB
Format:
Item-specific license agreed to upon submission
Description:
Download

Collections

Publications

Connect with us

Nepal Health Research Council © 2026
Ramshah Path, Kathmandu Nepal P.O.Box 7626