[Eye complications in diabetes. According to new criteria patients with diabetes should have ophthalmological examination at the time of diagnosis].
Diabetic retinopathy is still the most common cause of blindness among people under 65 years of age in the Western world. Early detection of sight-threatening retinopathy is vital, as in many cases it can be treated successfully with photocoagulation. Accordingly, screening programmes using fundus photography have been introduced in many countries, and in Sweden repeat examination at two-year intervals has been recommended. Since up to 30 per cent of patients with type 2 diabetes (according to the previous criteria) have been shown to manifest diabetic retinopathy at diabetes diagnosis, an initial ophthalmological examination at diagnosis is recommended. The new diagnostic criteria for diabetes, according to which patients with fasting blood glucose levels of 6.1 (6.6 mmol/L are also classed as diabetic, will increase the number of diabetic patients. Until such information becomes available as to the prevalence of sight-threatening retinopathy at diabetes diagnosis in that subgroup, it is suggested that type 2 diabetes patients should continue to undergo retinal examination at diabetes diagnosis.
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Ogonkliniken Universitetssjukhuset MAS, Malmö.
D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000175:diagnosis; D003930:Diabetic Retinopathy / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D005451:Fluorescein Angiography; D017408:Guidelines as Topic; D006801:Humans; D008403:Mass Screening; D011859:Radiography; D012016:Reference Values
Ogonkomplikationer vid diabetes. Diabetiker enligt nya kriterier bör ögonundersökas vid diagnos.