A Wake Forest University Baptist Medical Center team is launching a high-tech study to determine if early screening using a special camera and images transmitted over the Internet can prevent blindness in Medicaid patients with diabetes. ����� ������� ������� ���������� ������ ����� ����� ��� ��� ����� ��� �� ������� ������� �� ��� ���� ������ �� ��� ��� ����� �������� ������ ���� ���� ���� ��� �������� ���� �� ���� ����� �� ������� ������ ������ ����� ������ �� ��� ������.

"Medicaid patients are rarely screened and are at risk of becoming blind," said Ramon Velez, MD, M. Sc., the principal investigator. "������ ������� ������ ������ ������ �� ��� ����� ������� ���� �� ���� ����" � ��� ����� ����� � ����� �� ���� � ������ ������� �. � ���� �����. Diabetes is the leading cause of preventable blindness in the United States and Velez said the study will determine if early referral to ophthalmologists will help. ��� ����� �� ����� ������� ����� ���� ������� ���� �� �������� ������� ���� ����� ������� ����� �� ��� ���� ������� ��� ����� ������ �� ��� ���� ������.

The project — "I See in NC" — is being pilot-tested at Downtown Health Plaza of Baptist Hospital, where Velez is medical director, and then will be offered to two rural networks of Community Care of North Carolina. ������� -- "�� ��� �� ������� ��������" -- ����� ����� ������ ������ �� ��� ���� ����� ���������� �� �������� � ��� ����� �� ������ ����� � ���� ��� ���� ����� ����� �� ������� ������� ��� ����� ������� ��������� �� ����� �������� ��������. One is Central Piedmont Access II, the other is Access III of the Lower Cape Fear. ���� �� ������ ��� ��� ������� ������ � ������ �� ������ ��� ������ �� ������ ����� �����. About 2,000 Medicaid adults with diabetes will be asked to participate. ������ ������� ������ �� ���� �� 2000 �� �������� �������� ���� ������ ����� ��� ��������.

"The recent development of digital retinal photography has spurred a movement to employ this new technology with images transmitted by the Internet to central reading centers," Velez said. "�������� ������� �� ������� �������� ������ ����� ���� �������� ��� ����������� ������� �� ����� ��� ���� �������� ��� ��� ����� �������" ���� �����.

He said that in the pilot testing stage, the team is using a Canon retinal camera, acquired through a grant from the North Carolina Lions Foundation. ���� ��� �� ����� �������� �������� � ��� ������ ������ ������� �������� �������� � ������ �� ���� ���� ����� �� ����� ���� �������� �������. A diabetic retinopathy reading center is being established at the School of Medicine in cooperation with the Department of Ophthalmology. � retinopathy ������� ����� ������ � ����� ����� ����� ���� �� ���� ���� �� ������� �� ����� �� ������. William P. Moran, MD, formerly head of the Section on General Internal Medicine, is co-investigator. � ����� ����� � ����� �� ���� � ����� ����� ��� ���� ������� ����� � ������ ������.

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