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What is a reasonable interval for retinopathy screening in patients with diabetes?
PRACTICE RECOMMENDATIONS

Assuming that a given patient is reliable for follow-up and that a clinical system is in place to handle a more individualized screening protocol, the investigators suggest the following approach: 3-year intervals for patients with no retinopathy and no risk factors (risk factors being diabetes for longer than 20 years or use of insulin); annual screening for patients with no retinopathy and 1 or both risk factors or for patients with background retinopathy; and 4-month intervals for patients with mild preproliferative retinopathy.

These intervals provide at least a 95% probability of remaining free of sight-threatening diabetic retinopathy between screenings.

 
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Practice Recommendations from Key Studies

Younis N, Broadbent DM, Vora JP, Harding SP. Incidence of sight-threatening retinopathy in patients with type 2 diabetes in the Liverpool Diabetic Eye Study: a cohort study. Lancet 2003; 361:195–200.

Seth Miller, MD
Erik J. Lindbloom, MD, MSPH
Department of Family and Community Medicine, University of Missouri–Columbia

[email protected]

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The Journal of Family Practice - 52(5)
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349-364
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Practice Recommendations from Key Studies

Younis N, Broadbent DM, Vora JP, Harding SP. Incidence of sight-threatening retinopathy in patients with type 2 diabetes in the Liverpool Diabetic Eye Study: a cohort study. Lancet 2003; 361:195–200.

Seth Miller, MD
Erik J. Lindbloom, MD, MSPH
Department of Family and Community Medicine, University of Missouri–Columbia

[email protected]

Author and Disclosure Information

Practice Recommendations from Key Studies

Younis N, Broadbent DM, Vora JP, Harding SP. Incidence of sight-threatening retinopathy in patients with type 2 diabetes in the Liverpool Diabetic Eye Study: a cohort study. Lancet 2003; 361:195–200.

Seth Miller, MD
Erik J. Lindbloom, MD, MSPH
Department of Family and Community Medicine, University of Missouri–Columbia

[email protected]

Article PDF
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PRACTICE RECOMMENDATIONS

Assuming that a given patient is reliable for follow-up and that a clinical system is in place to handle a more individualized screening protocol, the investigators suggest the following approach: 3-year intervals for patients with no retinopathy and no risk factors (risk factors being diabetes for longer than 20 years or use of insulin); annual screening for patients with no retinopathy and 1 or both risk factors or for patients with background retinopathy; and 4-month intervals for patients with mild preproliferative retinopathy.

These intervals provide at least a 95% probability of remaining free of sight-threatening diabetic retinopathy between screenings.

 
PRACTICE RECOMMENDATIONS

Assuming that a given patient is reliable for follow-up and that a clinical system is in place to handle a more individualized screening protocol, the investigators suggest the following approach: 3-year intervals for patients with no retinopathy and no risk factors (risk factors being diabetes for longer than 20 years or use of insulin); annual screening for patients with no retinopathy and 1 or both risk factors or for patients with background retinopathy; and 4-month intervals for patients with mild preproliferative retinopathy.

These intervals provide at least a 95% probability of remaining free of sight-threatening diabetic retinopathy between screenings.

 
Issue
The Journal of Family Practice - 52(5)
Issue
The Journal of Family Practice - 52(5)
Page Number
349-364
Page Number
349-364
Publications
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What is a reasonable interval for retinopathy screening in patients with diabetes?
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