Monitoring
The follow-up interval recommended for the following diabetic
retinopathy severity:
- 1-2 years in patients with no apparent diabetic retinopathy or minimal nonproliferative diabetic retinopathy and without DME
- 6-12 months for mild nonproliferative diabetic retinopathy without CSME
- 3-6 months for moderate nonproliferative diabetic retinopathy
- <3 months for severe nonproliferative diabetic retinopathy
- <1 month for proliferative diabetic retinopathy
Recommended follow-up interval for patients with DME on initial
screening:
- 2-6 months for noncentral-involved DME
- 1-3 months for central-involved DME
Post-op Follow-up and Follow-up After Screening
A history of changes in symptoms, glycemic status (HbA1c), and systemic
status (pregnancy, blood pressure, serum cholesterol, renal status) should be
documented. The follow-up exam should include visual acuity, slit-lamp
biomicroscopy with iris examination, IOP determination, gonioscopy (if iris
neovascularization is suspected or present or if IOP is increased),
stereoscopic examination of the posterior pole after dilation of the pupils,
OCT when necessary, and peripheral retina and vitreous examination, when
indicated.