Open Access Research Article Article ID: JCRO-2-125

    Assessing Adherence to Annual Dilated Eye Exam Recommendations in Patients with Diabetes and Erectile Dysfunction

    Ethan Greenberg, Lisa A Hark*, Christine Hubert, Brianna Kenney, Courtney B Reamer, Julia A Haller, Robert Bailey and Irvin Hirsch

    Aims: This prospective, observational, pilot study assessed adherence rates of annual dilated fundus examinations (DFEs) among patients with diabetes mellitus (DM) and erectile dysfunction (ED) in a university-based practice and identified predictors associated with DFE adherence.

    Methods: A total of 56 men who had been diagnosed with ED and type I or type II DM were enrolled in the study and given a 24-question survey assessing their knowledge of DFE recommendations and ocular history. Patients were classified as adherent (n=39) or non-adherent (n=17) to the annual DFE. The differences in demographics, baseline characteristics, and survey responses between the adherent and non-adherent groups were analyzed using Fisher’s exact test for the comparison of proportions and Student’s t-test for the comparison of means.

    Results: The adherent group was more likely than the non-adherent group to be seeing an eye doctor (p=0.03). The most common cited reasons for not seeing an ophthalmologist were “Too busy” (n=5) and “Unable to pay the co-pay” (n=4).

    Conclusions: Patients with ED and DM showed a greater adherence to annual DFE recommendations than those in the reported non-ED population. Minimizing the cost barrier and educating about diabetes complications may increase adherence in obtaining a DFE.

    Keywords: Dilated fundus examination; Erectile dysfunction; Diabetes mellitus; Diabetic retinopathy; Eye examination

    Published on: Dec 17, 2015 Pages: 67-71

    Full Text PDF Full Text HTML DOI: 10.17352/2455-1414.000025
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