Knowledge of Diabetic Retinopathy among Primary Care Nurses Performing Fundus Photography and Agreement with Ophthalmologists on Screening

Diabetic retinopathy (DR) is one of the complications diabetes mellitus (DM), with macular oedema being leading causes avoidable blindness among individuals DM worldwide. Fundus screening only method for early detection and treatment. High-quality training programmes professionals performing primary care are essential to produce high-quality images that facilitate accurate lesion identification. This a two-phase observational, descriptive, cross-sectional study. The first phase analysed DR knowledge in sample nurses. second explored agreement on between referral ophthalmologists image assessment (gold standard) small group nurses involved previous phase. In 1, rate results was 90%. 2, overall raw fundus photography 75% (Cohen’s kappa = 0.477; p < 0.001). Agreement moderate, suggesting implementing specific programme nurse-led imaging would help develop this competence nurses, ensuring good level patient safety adding value users, also sustainability healthcare system. study not registered.