title: Should diabetes retinal screening intervals change?
abstract: 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.
authors: Ninewells Hospital and Medical School, Dundee, UK. graham.leese@nhs.net
authors: G P
authors: GP
authors: Leese
mesh_terms: D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D003930:Diabetic Retinopathy / Q000517:prevention & control*; D042241:Early Diagnosis; D006801:Humans; D008403:Mass Screening / Q000458:organization & administration*; D013997:Time Factors; D018630:Vitreoretinopathy, Proliferative / Q000517:prevention & control