Algorithms for Screening and Management of Diabetic Retinopathy
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- 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.