{"id":4024,"date":"2017-02-22T08:36:05","date_gmt":"2017-02-22T08:36:05","guid":{"rendered":"http:\/\/www.dailyrounds.org\/blog\/?p=4024"},"modified":"2017-02-22T08:52:02","modified_gmt":"2017-02-22T08:52:02","slug":"diabetic-retinopathy-2017-position-statement","status":"publish","type":"post","link":"https:\/\/www.dailyrounds.org\/blog\/diabetic-retinopathy-2017-position-statement\/","title":{"rendered":"Diabetic Retinopathy 2017 Position Statement"},"content":{"rendered":"<p>The American Diabetic Association in the March 2017 has released a position statement on Diabetic Retinopathy. This is update on the 2002 recommendations by the ADA. The following is the summary of the recommendations.<\/p>\n<p>A full PDF version can be accessed here: https:\/\/dhmbxeygs57ff.cloudfront.net\/uploads\/ea7f7bfc884444d6a4c3a24450cfef89.pdf<\/p>\n<p>Summary of the 2017, ADA recommendations on diabetic retinopathy<\/p>\n<p>1.Optimize the following to reduce the risk or slow the progression of diabetic retinopathy<\/p>\n<ul>\n<li>Glycemic control<\/li>\n<li>Blood pressure<\/li>\n<li>Serum lipid control<\/li>\n<\/ul>\n<p><strong>Screening<\/strong><\/p>\n<ol>\n<li>Adults with type 1 diabetes<\/li>\n<\/ol>\n<ul>\n<li>5 years after the onset of diabetes<\/li>\n<li>Comprehensive eye examination by an ophthalmologist or optometrist<\/li>\n<\/ul>\n<p>2.Type 2 diabetes<\/p>\n<ul>\n<li>At the time of diagnosis of type 2 DM<\/li>\n<li>Comprehensive eye examination by an ophthalmologist or optometrist<\/li>\n<\/ul>\n<p><strong>Frequency of Screening<\/strong><\/p>\n<ol>\n<li>If there is no evidence of retinopathy for one or more annual eye exams<\/li>\n<\/ol>\n<ul>\n<li>examination every 2 years may be considered<\/li>\n<\/ul>\n<p>2.If any level of diabetic retinopathy is present<\/p>\n<ul>\n<li>At Least annual screening by an ophthalmologist<\/li>\n<\/ul>\n<p>3. If retinopathy is progressing or sight-threatening<\/p>\n<ul>\n<li>More frequent screening<\/li>\n<\/ul>\n<p><strong>Pregnancy<\/strong><\/p>\n<ol>\n<li>Women with preexisting type 1 or 2 diabetes planning a pregnancy should be counseled on the risk of development and\/or progression of diabetic retinopathy.<\/li>\n<li>Eye examinations should occur before pregnancy or in the first trimester in patients with preexisting type 1 or type 2 diabetes<\/li>\n<\/ol>\n<ul>\n<li>then monitored every trimester<\/li>\n<li>and for 1 year postpartum as indicated by the degree of retinopathy<\/li>\n<\/ul>\n<p><strong>Retinal photography<\/strong><\/p>\n<ol>\n<li>May serve as a screening tool<\/li>\n<li>NOT a substitute for a comprehensive eye exam<\/li>\n<\/ol>\n<p><strong>Treatment<\/strong><\/p>\n<ol>\n<li>Promptly refer all patient with the following to an ophthalmologist who is knowledgeable and experienced in the management and treatment of diabetic retinopathy.<\/li>\n<\/ol>\n<ul>\n<li>any level of macular edema<\/li>\n<li>severe nonproliferative diabetic retinopathy (a precursor of proliferative diabetic retinopathy)<\/li>\n<li>or any proliferative diabetic retinopathy<\/li>\n<\/ul>\n<p>2. Laser photocoagulation therapy reduces the risk of vision loss in patients with<\/p>\n<ul>\n<li>high-risk proliferative diabetic retinopathy<\/li>\n<li>in some cases, severe nonproliferative diabetic retinopathy<\/li>\n<\/ul>\n<p>3. Intravitreous injections of anti\u2013vascular endothelial growth factor are indicated for central-involved diabetic macular edema, which<\/p>\n<ul>\n<li>occurs beneath the foveal center<\/li>\n<li>and may threaten reading vision<\/li>\n<\/ul>\n<p>4. Aspirin does not increase the risk of retinal hemorrhage<\/p>\n<ul>\n<li>presence of retinopathy is not a contraindication to aspirin therapy for cardioprotection<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The American Diabetic Association in the March 2017 has released a position statement on Diabetic Retinopathy. This is update on the 2002 recommendations by the ADA. The following is the summary of the recommendations. A full PDF version can be accessed here: https:\/\/dhmbxeygs57ff.cloudfront.net\/uploads\/ea7f7bfc884444d6a4c3a24450cfef89.pdf Summary of the 2017, ADA recommendations on diabetic retinopathy 1.Optimize the following [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":4031,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[1],"tags":[],"class_list":["post-4024","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diabetic Retinopathy 2017 Position Statement - DailyRounds<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dailyrounds.org\/blog\/diabetic-retinopathy-2017-position-statement\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diabetic Retinopathy 2017 Position Statement - DailyRounds\" \/>\n<meta property=\"og:description\" content=\"The American Diabetic Association in the March 2017 has released a position statement on Diabetic Retinopathy. 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