MODAC: Macular OCT diabetic assessment clinic: A virtual clinic pathway for assessing patients referred for early diabetic maculopathy

Poster Details

First Author: U.Kanj UK

Co Author(s):    N. Manjunatha                             

Abstract Details


The UK Diabetic Eye Screening Programme (DESP) has resulted in increasing number of referrals to Hospital Eye Services (HES) due to early maculopathy. Some HES are unable to cope with this demand; MODAC, a virtual clinic, was set up to address this. The aim of our study was to evaluate performance and safety of MODAC as a virtual clinic to assess such patients


This study was conducted at the Macular Unit in St. Cross Hospital, University Hospitals Coventry and Warwickshire, NHS Trust


Retrospective analysis of patients attending MODAC. Fundus photography and SD-OCT scan were performed. The images were assessed by a consultant who decides outcome of each patient; either discharge back to DESP, refer to Medical Retina Clinic or remain in MODAC follow-up


From April 2015 to April 2016, 650 were referred to HES with suggestive signs of progression in diabetic maculopathy. Of those, 212 (32.61%) were seen in MODAC rather than in face-to-face clinic. September 2015 to December 2015 period was randomly chosen to assess; 97 patients seen in MODAC. Of these, 46 patients (47.4%) were new referrals. Among these 97 patients, 11 (11.34%) were referred to Medical retina clinic due to significant changes (M1) where 2 (2.06%) had macular laser and 1 (1.03%) treated with anti-VEGF. Rest 86 patients (88.66%) were continued to be followed up in MODAC clinic. All patients seen in MODAC over the one year time interval had no vitreous haemorrhage. The mean time interval between referral from DESP until seen in MODAC was 15.50 weeks


MODAC is a safe pathway to manage early maculopathy patients referred from DESP and could be an answer for addressing capacity issue in HES

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