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A Novel Model to Deliver Advanced Eye Care for People With Diabetes Living in Resource-Poor Settings: Results of Care Provided to Date

2012; American Diabetes Association; Volume: 35; Issue: 4 Linguagem: Inglês

10.2337/dc11-2098

1935-5548

Krishna R. Murthy, Praveen R. Murthy, Subbakrishna Rao, Gowri J. Murthy, Anil Kapur, Pierre Lefèbvre,

Diabetes Management and Research

An estimated 50.7 million people in India have diabetes (1), and 70% of the Indian population live in rural areas (2). Diabetic retinopathy (DR) develops in more than 75% of patients with diabetes within 15–20 years of diagnosis (3,4). We have developed a model of distributive advanced outreach care designed to bring screening and treatment of DR to rural and semi-urban areas of the state of Karnataka in India. Nicknamed Nayana—or beautiful eyes in Hindi—the specially designed advanced eye care treatment unit (AETU) van is custom-built on a cargo chassis from Ashok Leyland Ltd. of India. The van has a 2 + 1 driver's cabin and an insulated air-conditioned treatment chamber. The van carries its own 7-kVA generator, which powers all of the equipment on the van. It also carries routine clinical furniture, a fundus camera with …