title: [Clinical practice guidelines. Diagnosis and treatment of diabetic retinopathy].
abstract: OBJECTIVE
  to develop a guideline available to the staff of the second and third level of medical care, that includes recommendations based on the best available evidence about diagnosis and management of diabetic retinopathy (DR).
  
  
  METHODS
  clinical questions were formulated and structured. A standardized sequence was established to search for practice guidelines from the clinical questions raised on diagnosis and treatment of DR. The working group searched clinical practice guidelines and found eleven on this topic. For recommendations not included in the reference guide, the search process was conducted in PubMed and Cochrane Library. The results were expressed as levels of evidence and grade of recommendation.
  
  
  CONCLUSIONS
  in Mexico diabetic retinopathy is a main cause of blindness in the active working population. It is necessary to establish a program for detection of at-risk population that allow make early diagnosis and opportune management for reducing blindness in patients. It is equally important to be aware of the need for long-term good metabolic control, which is associated with better quality of life.
authors.affiliation: División de Excelencia Clínica, Coordinación de Unidades Médicas de Alta Especialidad, Distrito Federal, México. yuribia.millan@imss.gob.mx
authors.forename: Yuribia Karina
authors.initials: YK
authors.lastname: Millán-Gámez
authors.forename: Niels H
authors.initials: NH
authors.lastname: Wacher-Rodarte
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Bravo-Ortiz
authors.forename: Néstor Hugo
authors.initials: NH
authors.lastname: Garrido-Gaspar
authors.forename: Rosaura
authors.initials: R
authors.lastname: Mendoza-Topete
authors.forename: Adriana Marcela
authors.initials: AM
authors.lastname: Martínez-Ruiz
authors.forename: Guillermo
authors.initials: G
authors.lastname: Miller-Arrevillaga
authors.forename: Alfonso
authors.initials: A
authors.lastname: Ramírez-Nájera
mesh_terms: D000465:Algorithms; D003930:Diabetic Retinopathy / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans