Monday, September 25, 2023
As an organization accredited by the ACCME, Medscape, LLC, requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.
Medscape, LLC, encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.
Cleveland Clinic Cole Eye Institute
Associate Professor of Ophthalmology
Case Western Reserve University School of Medicine
Cleveland, Ohio
Medscape, LLC staff have disclosed that they have no relevant financial relationships.
The PIM planners and managers have nothing to disclose.
This activity has been peer reviewed and the reviewer has disclosed the following relevant financial relationships:
Served as an advisor or consultant for: Bayer; Novartis
Served as a speaker or a member of a speakers bureau for: Bayer
Received grants for clinical research from: Bayer; Novartis
This activity is intended for primary care physicians, optometrists, ophthalmologists, diabetologists, and endocrinologists.
The goal of this activity is to increase disease awareness regarding the benefits of early intervention in nonproliferative diabetic retinopathy and to counsel patients in overcoming adherence issues to seeing an ophthalmologist.
Upon completion of this activity, participants will:
As an organization accredited by the ACCME, Medscape, LLC, requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.
Medscape, LLC, encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.
Cleveland Clinic Cole Eye Institute
Associate Professor of Ophthalmology
Case Western Reserve University School of Medicine
Cleveland, Ohio
Medscape, LLC staff have disclosed that they have no relevant financial relationships.
The PIM planners and managers have nothing to disclose.
This activity has been peer reviewed and the reviewer has disclosed the following relevant financial relationships:
Served as an advisor or consultant for: Bayer; Novartis
Served as a speaker or a member of a speakers bureau for: Bayer
Received grants for clinical research from: Bayer; Novartis
Developed through a partnership between Medscape and Postgraduate Institute for Medicine.
Medscape, LLC designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Postgraduate Institute for Medicine is accredited by COPE to provide continuing education to optometrists.
Credit Statement: This course is COPE approved for 0.25 hours of CE credit. Activity #121072 and Course ID 71213-SD. Check with your local state licensing board to see if this counts toward your CE requirement for re-licensure.
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and acceptance of continuing education credit for this activity, please consult your professional licensing board.
This activity is designed to be completed within the time designated on the title page; physicians should claim only those
credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the
activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.
Follow these steps to earn CME/CE credit*:
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*The credit that you receive is based on your user profile.
CME Released: 2/9/2021
Valid for credit through: 2/9/2022, 11:59 PM EST
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SCENE 1: Patient waiting in PCP’s office. PCP comes in and greets patient.
Doctor: Good morning, Mr. Lopez. I’m Dr. Clayton.
Patient: Nice to meet you.
Doctor: How are you feeling? Any problems?
Patient: (shrugs) Not that I know of. I feel pretty good.
Doctor: (glancing at chart) Your record shows that your most recent HbA1c level was high. (glancing at chart) Have you been sticking with your nutrition and exercise plan? Your medications?
Patient: (a little embarrassed) Well, to be honest, I’ve slipped a bit lately. You know, I’ve been busy...with a new job and everything.
Doctor: (glancing at chart) You were scheduled for an eye exam a couple of years ago. Did you go?
Patient: Um...no...I um...meant to but...I um (trails off). I can see fine though. At least when I’m wearing my glasses.
Doctor: Any blurry or double vision?
Patient: (shakes head) Um...no.
Doctor: Any pain in or around your eyes?
Patient: (shakes head) No.
Doctor: Any difficulty seeing at night?
Patient: Um...well...yeah, a little bit. When I drive.
Doctor: Any dark or empty areas in the center of your vision?
Patient: (shakes head) No.
Doctor: What about black or gray spots or threads that appear and disappear in your field of vision?
Patient: (thinking) Hmm...yeah...I do get those sometimes. (pause) What are those things?
Doctor: We call them “floaters.” They can appear with normal aging, as can decreased night vision, but they can also be a sign of retinopathy -- damage to the retinas. Are you aware of the relationship between diabetes and retinopathy?
Patient: Well, I know that diabetes can cause eye problems along with a bunch of other problems down the road, you know, like with the kidneys and heart.
Doctor: Yes, that’s right. Too much sugar in the bloodstream can damage blood vessels wherever they are in your body, including the tiny blood vessels in the retina.
Patient: So, are you telling me that my diabetes is causing these...what did you call them...floaters?
Doctor: Maybe. The only way to know for sure is for you to get your eyes checked out by an ophthalmologist -- an eye doctor. It’s important. If it’s not treated, diabetic retinopathy can cause severe vision loss, even blindness.
Patient: (a bit worried) Oh, ok, I guess I better get them checked out. So, what will the eye doctor actually do?
Doctor: To check if you have retinopathy, the doctor will put drops in your eyes that will dilate your pupils and allow them to see your retinas. You may need to arrange for someone to drive you home after your appointment, until your pupils return to normal size. Also, the doctor will check to see if....
