Should diabetes retinal screening intervals change?
Article first published online: 13 DEC 2012
© 2012 The Author. Diabetic Medicine © 2012 Diabetes UK
Volume 30, Issue 1, pages 43–45, January 2013
How to Cite
Leese, G. P. (2013), Should diabetes retinal screening intervals change?. Diabetic Medicine, 30: 43–45. doi: 10.1111/j.1464-5491.2012.03752.x
- Issue published online: 13 DEC 2012
- Article first published online: 13 DEC 2012
- Accepted manuscript online: 23 JUL 2012 09:46AM EST
- Accepted 18 July 2012
Diabet. Med. 30, 43–45 (2013)
There is accumulating evidence that the natural history of diabetic eye disease is sufficiently slow that 2-yearly retinal screening, or even longer, may be safe for some patients with diabetes. The information technology underpinning call–recall systems within screening programmes permits a more sophisticated approach to organizing retinal screening, as directed by the clinical evidence. This commentary explores the evidence for moving towards a biennial retinal screening programme for patients with Type 2 diabetes and diabetes duration of less than 10 years. Such an approach may allow capacity to introduce 6-monthly screening for high-risk patients, a targeted approach to recurrent defaulters and possible introduction of new aspects of screening such as optical coherence tomography, in addition to accommodating for the expanding number of patients with diabetes. A UK–four nations group is now critically looking at the evidence for any such changes.