5.2 Diabetic retinopathy

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Diabetic retinopathy is the most frequent cause of new cases of blindness in our country. Glaucoma, cataract, and other disorder of the eye occur earlier in persons with diabetic.

5.2.1 Screening and follow-up

In T1DM

An initial dilated, comprehensive eye examination by an ophthalmologist or optometrist within 5 years of diagnosis and then annually. If retinopathy is progressing or sight-threatening, then an examination should be done frequently.

In T2DM

An initial dilated, comprehensive eye examination by an ophthalmologist or optometrist at the time of the diabetes diagnosis and then annually. If retinopathy is progressing or sight-threatening, then examinations should be done frequently.

In women with T1DM or T2DM

If planning pregnancy, should have screening for retinopathy before pregnancy. During pregnancy, a repeat eye examination should be done.

Table 5.2 Classification of diabetic retinopathy2

Table 5.2 Classification of diabetic retinopathy2

 

Figure 5.2 Decision making path: retinopathy2

Figure 5.2 Decision making path: retinopathy2