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Algorithms for Screening and Management of Diabetic Retinopathy
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- Diabetic retinopathy (DR) is the leading cause of blindness in developed countries among adults 20 to 74 years of age. The prevalence of DR increases with the duration of diabetes and with patient age.
- One of the most important factors to emphasize to patients with diabetes is that good glycemic control lowers the risk of both the development and progression of DR.
- A dilated fundoscopic examination by an eye care specialist is the most sensitive way to detect DR.
- Primary care specialists and endocrinologists should refer patients with diabetes for proper screening for DR. Type 1 diabetes patients should be referred within 5 years of their diabetes diagnosis. Type 2 diabetes patients should be referred at the time of their diabetes diagnosis.