A Clinical Audit of Diabetic Retinopathy Screening Among Type 2 Diabetes Mellitus Patients Attending Pusat Perubatan Angkatan Tentera, Sg Besi
https://doi.org/10.15605/jafes.041.S1
- Author:
Maizatulilfah Miskan
1
;
Hasliza Abu Hassan
1
;
Ng Kien Keat
1
;
Ambigga Devi
1
;
Aida Jaffar
1
;
Siti Salmiah Awang
2
Author Information
1. Department of Primary Care Medicine, Faculty of Medicine and Defence Health, National Defence University of Malaysia
2. Pusat Perubatan Angkatan Tentera Sg. Besi
- Publication Type:Journal Article
- MeSH:
Humans;
iabetes Mellitus, Type 2;
Diabetic Retinopathy;
Clinical Audit
- From:
Journal of the ASEAN Federation of Endocrine Societies
2026;41(S1):44-
- CountryPhilippines
- Language:English
-
Abstract:
Introduction:Diabetic retinopathy (DRP) is the most common microvascular complication of diabetes, affecting approximately
30% of patients with type 2 diabetes and over half of
those with type 1 diabetes. It remains a leading cause of
preventable blindness among adults worldwide. Early
stages are frequently asymptomatic, making regular
diabetic eye screening essential to detect sight-threatening
changes before irreversible vision loss occurs. In Malaysia,
where diabetes prevalence has reached 15.6% among
adults (NHMS 2023), the effective implementation of
annual retinal screening is crucial. Malaysian National
Clinical Practice Guidelines recommend an annual retinal
screening among type 2 diabetes mellitus (T2DM) patients.
This clinical audit evaluated adherence to DRP screening.
Methodology:A retrospective clinical audit was conducted at Pusat
Perubatan Angkatan Tentera (PPAT), Kem Sungai Besi, to
evaluate compliance with national DR screening standards
among adults with T2DM. Thirty eligible patient records
were reviewed. Three key indicators were assessed: (1)
documentation of visual acuity at diagnosis, (2) annual
fundoscopy, and (3) referral for fundus photography within
the preceding 12 months. Performance was benchmarked
against the 80% standard. Data were analyzed descriptively.
Results:The median age group was 55–59 years, with equal gender
distribution. Screening adherence was substantially below
target: visual acuity assessment at diagnosis, 23.3%; annual
fundoscopy, 26.7%; and fundus imaging referral, 36.7%.
All screening indicators were below the recommended
standard.
Conclusion:This audit reveals a significant implementation gap between national guidelines and routine practice. Structured
workflow integration and documentation reinforcement
strategies need to be emphasized. Additional measures include strengthening patient education and reinforcing
guideline-based practice through regular CME sessions.
However, a re-audit has not yet been conducted at the time
of clinical audit reporting. An ongoing evaluation will be
essential to determine the effectiveness and sustainability
of these interventions in reducing preventable diabetic
vision loss at PPAT Sungai Besi.
- Full text:2026073010404402968EP_A045.pdf
