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Table 1 Key messages to be delivered to participants

From: Effectiveness of peer support to increase uptake of retinal examination for diabetic retinopathy: study protocol for the DURE pragmatic cluster randomized clinical trial in Kirinyaga, Kenya

Messages on diabetic eye disease
1 Diabetes causes several complications in the eye, including DR
2 DR is a progressive condition that leads to blindness if treatment is not provided in good time
3 DR has no symptoms until the advance stages
4 An eye check by an eye specialist can detect damage to the eyes before symptoms develop
5 All persons with diabetes should have their eyes checked once every year by an eye specialist, even before any symptom or poor vision develops
6 Do not wait for your vision to get worse or for any other symptom to occur before you see an eye specialist
7 If eyes are found to be normal at your eye check by an eye specialist, please continue with an eye check annually
8 If you notice any abnormality with your eyes between your clinic appointments, visit the eye specialist as soon as possible. It may not mean that you have diabetic eye disease, it may be a simple problem that requires treatment.
9 The eye check may help to determine if your sugar, blood pressure, and lipid control needs to be re-assessed. Good control of your blood sugar levels, blood pressure and cholesterol reduces the risk of diabetes-related sight loss.
10 If you are found to have DR the eye specialist will inform you about the diagnosis, and how it will be treated.
Messages on retinal examination for DR
1. Ensure you have a dilated eye examination at the eye clinic at least once a year.
2. You do not need to have a referral note to go to the clinic. However we will give you a card to present at the clinic.
3. At the eye clinic, your vision will be checked first.
4. A examination for DR is different from any other type of eye examination. It is called a dilated eye examination.
5. In this examination, the doctor puts eye drops into your eyes to dilate (widen) your pupils. This allows the doctor to have a good view of the back of the eye. Both eyes need to be examined.
6. The examination is not painful. When the eye drops are first instilled, there may be a slight stinging sensation but this only lasts about a minute. You may feel uncomfortable because of light sensitivity and blurred vision once the pupils are dilated.
7. Do not be afraid to ask the doctor questions about the examination or about diabetic eye disease.