In this video, Dr. Deependra Vikram Singh interviews Prof. doctor Rajeev -Chawla on how he incorporated telescreening into his diabetes practice in New Delhi.
Doctor Rajeev Chawla is the senior consultant diabetologist director at North Delhi Diabetes Centre. Diabetic retinopathy is a critical complication of diabetes. Most of the time, diabetic patients don’t prefer getting their eyes checked, as the initial symptoms of diabetes do not include symptoms of diabetic retinopathy.
To confirm signs of diabetes, usual blood glucose and insulin tests are done, but when doctors ask patients to get retina checkups from retina specialists, patients refuse to do so. To curb this issue, doctor Rajeev Chawla incorporated telescreening into his practice 8 years ago and according to him, the results have been phenomenal.
Watch the full video for an in-depth analysis of how this telescreening helped him and his patients and what learnings he accumulated over the course of 8 years.

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Timecodes
0:00 - Introduction
01:27 - How is your overall experience with Fundus Camera-based Telescreening for Diabetic Retinopathy?
02:00 - When and how did you incorporate Retinopathy screening at your center?
03:06 - What were the key challenges for Diabetic Retinopathy screening at that time?
04:41 - What was your initial reaction when our team approached you for Fundus camera-based screening for Diabetic Retinopathy?
07:04 - Response from patients on this concept of Retinopathy screening by retina photograph at your clinic itself?
08:20 - Together we have screened more than 6000 Diabetics at your clinic by fundus camera-based Telescreening and we found a positivity rate of 20% - are you surprised by this?
09:28 - PCD image in slide
11:00 - What value this in-house DR screening adds to your patients and to the kind of Diabetic care you provide to them?
12:03 - Screening tests have slightly less sensitivity and even lesser specificity as compared to conventional examination techniques. How did you address that in this Telescreening program?
15:05 - Inhouse screening for Diabetic Retinopathy adds useful data on your Diabetes research
18:38 - What would be your message to physician colleagues who are slow in adapting this approach for DR screening?
19:07 - IJDDC Image
22:56 - What kind of guidelines and advocacy support from societies and government is needed to take this Telescreening to every diabetology clinic?

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