Recommendations: Retinopathy Screening (3)
Recommendations for the screening of retinopathy in patients with diabetes are summarized in four slides Slide 3 of 4 High-quality fundus photographs can detect most clinically significant diabetic retinopathy. Interpretation of the images should be performed by a trained eye care provider (E) While retinal photography may serve as a screening tool for retinopathy, it is not a substitute for a comprehensive eye exam, which should be performed at least initially and at intervals thereafter as recommended by an eye care professional (E) The use of retinal photography with remote reading by experts has great potential in areas where qualified eye care professionals are not available and may also enhance efficiency and reduce costs when the expertise of ophthalmologists can be utilized for more complex examinations and for therapy (378) In-person exams are still necessary when the photos are unacceptable and for follow-up of abnormalities detected Photos are not a substitute for a comprehensive eye exam, which should be performed at least initially and at intervals thereafter as recommended by an eye care professional Results of eye examinations should be documented and transmitted to the referring health care professional99Reference American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care 2013;36(suppl 1):S36.