![]() Globally, more than 100 million individuals are living with DR, and DR is a leading cause of blindness and visual impairment, especially among the working-age adult population ( 1, 3). In this article, we discuss these major trends in DR that we expect to see in 2030 and beyond.ĭiabetic retinopathy (DR) is the major ocular complication of diabetes mellitus, and occurs in about 30 to 40% of diabetic individuals ( 1, 2). Finally, the classification system for diabetic retinal disease will need to be continually updated to keep pace with new developments. Fifth, new pharmacologic agents targeting other non-VEGF-driven pathways, and novel therapeutic strategies such as gene therapy are being developed for DR. Fourth, artificial intelligence for screening, diagnosis and prognostication of DR will become increasingly accessible and important. Third, a wealth of information is becoming available from newer imaging modalities such as widefield imaging systems and optical coherence tomography angiography. Second, better understanding of disease pathophysiology is placing greater emphasis on retinal neural dysfunction and non-vascular aspects of diabetic retinal disease. First, epidemiologic projections show that the global burden of DR is not only increasing, but also shifting from high-income countries towards middle- and low-income areas. Looking forward to 2030, many of these ongoing developments are likely to further transform the field. Yet, there are still more exciting advances being made. For example, the accessibility of imaging with optical coherence tomography, and the development of anti-vascular endothelial growth factor (VEGF) treatment are just some of the landmark developments that have shaped the DR landscape over the last few decades. Major advances in diagnostics, technology and treatment have already revolutionized how we manage DR in the early part of the 21 st century. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.Diabetic retinopathy (DR) is the major ocular complication of diabetes mellitus, and is a problem with significant global health impact. MOC - He does not participate in the Medicare Maintenance of Certification Program.Million Hearts is a national initiative that encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes. MHI - He does not commit to heart health through the Million Hearts initiative.Electronic health records are important because they may improve a health care professional's ability to make well-informed treatment decisions. The Electronic Health Records (EHR) Incentive Program encourages health care professionals to use certified EHR technology in ways that may improve health care. EHR - He does use electronic health records (EHR). ![]() Quality measures can show how well a health care professional provides care to people with Medicare. The Physician Quality Reporting System (PQRS) is a Medicare program encouraging health care professionals and group practices to report information on their quality of care.
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