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Regular Ophthalmologic Examinations Schedule in Patient with Diabetes

Purpose: To determine the schedule for ophthalmologic examinations in a patient with diabetes mellitus.

Description

A patient with diabetes mellitus should have regular ophthalmologic examinations. These can help identify early lesions of diabetic retinopathy and allow for early interventions. The American Diabetic Association has proposed a schedule for these exams.


 

Parameters:

(1) type of diabetes (previously age of onset)

(2) pregnancy in a pre-existing diabetic

(3)presence of abnormal findings

Type of Diabetes

First Examination

Type 1 and age of onset <= 7 years of age

10 years of age

Type 1 with age of onset > 7 years of age

(age of onset) + (3 to 5 years)

Type 2

(age of onset)

female with Type 1 or 2 trying to become pregnant

before conception and during first trimester

 

where:

• Some recommendations use age of onset as an operational definition for the type of diabetes. For these, an age of onset <30 years is type 1 and >= 30 years is type 2.

 

Type of Diabetes

Exam Findings

Subsequent Exams

Type 1 or 2

normal

annual

Type 1 or 2

abnormal

3 - 6 months

pregnant female

normal

watch

pregnant female

abnormal

depends on severity

 


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Specialty

Objective

ICD-10