Indian Health Service's Joslin Vision Network Teleophthalmology Program: Past, Present, and Future

1. Diabetic retinopathy occurs when high blood sugar levels damage the blood vessels in the back of the eye.

a) True
b) False

2. Diabetic retinopathy is the leading cause of new blindness in adults.

a) True
b) False

3. Vascular growth factors called VEGF are the most important factor leading to advanced diabetic retinopathy and swelling in the retina.

a) True
b) False

4. The following is/are potential treatment(s) for diabetic retinopathy:

a) Laser treatment
b) Injection treatment
c) Surgical treatment
d) All of the above

5. The IHS Joslin Vision Network (JVN) program provides training and certification to all readers administering the exam to patients.

a) True
b) False

6. The workflow outlined in the JVN Program includes which of the following:

a) Image acquisition located in primary care clinics
b) Images are read within 48 hours at the National Reading Center
c) Report and plan is sent back to the referring clinic
d) Patients are notified of their results and follow up appointments are scheduled
e) All of the Above

7. Patient’s without diabetic retinopathy should still have retinal imaging at least yearly.

a) True
b) False

8. The stages of diabetic retinopathy include:

a) Moderate Nonproliferative Retinopathy
b) Severe Nonproliferative Retinopathy
c) Proliferative Retinopathy with Detachment
d) All of the above

9. The IHS JVN Teleretinal Program has 88 physical sites, 7 mobile sites and offer services in 25 States.

a) True
b) False