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Abstract
The ophthalmic exam revealed proliferative diabetic retinopathy, but the diagnosis alone didn’t capture the depth of Mrs. A.’s story. A 58-year-old woman with longstanding diabetes who had never received a retinal screening. She learned about the free eye clinic through a friend and managed to attend. Mrs. A. shared that her vision had been deteriorating over the past few months, and just last month, it began interfering with her work: ultimately, leading to both her job and health insurance loss. She had also recently gone through a divorce and was struggling to afford food, medical care, and transportation, all while trying to manage her diabetes alone. These compounding events created a cascade of barriers that made it nearly impossible for her to prioritize her health.