Systematic review of Retinal Photography Screening for Diabetic Retinopathy In First Nations Communities

Abstract

Background: First Nations Australians experience a disproportionately high rate of diabetic retinopathy (DR), a leading cause of preventable blindness. Despite the provision of retinal cameras in Aboriginal Community Controlled Health Organisations (ACCHOs), their effective utilisation and referral rates remain low.   Objective: This review aims to identify benchmarks for establishing a successful retinal photography service for DR screening and subsequent referral in First Nations communities, via telehealth.   Methods: A literature review was conducted to examine existing models of care, resource allocation, and telehealth strategies employed in Australia and internationally.   Discussion: The review provides insights into best practices for implementing a culturally appropriate and sustainable retinal photography service. Findings will inform recommendations for optimising equipment utilisation, improving referral pathways, enhancing workforce capacity, and leveraging telehealth to improve access to eyecare for First Nations Australians with diabetes.   Conclusion: By identifying and addressing the challenges and opportunities associated with DR screening in First Nations communities, this review contributes to developing evidence-based strategies to reduce the burden of preventable blindness and improve the overall health and well-being of this population.