Johns Hopkins Diabetes GuideManagement Tools

Algorithms for Screening and Management of Diabetic Retinopathy

Mark D. Corriere, M.D., Sharon D. Solomon, M.D.
Algorithms for Screening and Management of Diabetic Retinopathy is a topic covered in the Johns Hopkins Diabetes Guide.

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INTRODUCTION

  • Diabetic Retinopathy (DR) is the leading cause of blindness in the US population, 20-64 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.

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Last updated: June 6, 2014