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Guidance: Diabetic eye screening pathways: patient, grading, referral, surveillance

Nhs England

July 10
14:29 2024

This publication illustrates, step by step, the diabetic eye screening working processes.

The document includes the:

  • retinal screening patient pathway
  • referral pathway from screening to slit lamp biomicroscopy surveillance
  • referral pathway from screening to digital surveillance
  • referral pathway from screening or surveillance to hospital eye services for diabetic retinopathy management
  • single common grading pathway
  • pathway for pregnant women
Published 29 October 2012
Last updated 10 July 2024 +show all updates
  1. Updated guidance

  2. Throughout the documentation: Removed all references to PHENHS Diabetic Eye Screening Programme Page 1:Screening is offered once every 24 months for those individuals with diabetes aged 12 years and over with two consecutive negative test results, and once every 12 months to those individuals with a positive, non-referrable result or a single negative result.NHS Diabetic Eye Screening Programme page 1:4th paragraph 2nd bullet point : changed to individuals with a positive non referrable result (R0M0)NHS Diabetic Eye Screening Programme Page 1patients to individuals or Service usersPatient pathway for retinal screening: Reviewed and renewed the pathway diagramReferral pathway for digital surveillance: Reviewed and renewed the pathway diagramReferral pathway for slit lamp biomicroscopy surveillance:Reviewed and renewed the pathway diagramReferral pathway for management of diabetic retinopathy:Reviewed and renewed the pathway diagramPathway for pregnant patients: Reviewed and renewed the pathway diagramSingle common grading pathway:Reviewed and renewed the pathway diagram

  3. Updated pregnancy flowchart.

  4. Updated edition of pathway overviews document.

  5. First published.

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