Ophthalmologic examination schedule

Patient group	Recommended first examination	Minimum routine follow-up
Type 1 diabetes	Within 5 years after diagnosis of diabetes once patient is age 10 years or older.	Yearly, if retinopathy present^* Every 2 years if there is no evidence of retinopathy
Type 2 diabetes	At time of diagnosis of diabetes.	Yearly, if retinopathy present^* Every 2 years if there is no evidence of retinopathy
Pregnancy in preexisting diabetes	Prior to conception and during first trimester. Counsel on the risk of development and/or progression of retinopathy.	Close follow-up throughout pregnancy and for 1 year postpartum

* Abnormal findings necessitate more frequent follow-up.

Copyright © 2004 American Diabetes Association from Diabetes Care Vol 27, Supplement 1, 2004. Reprinted with permission from The American Diabetes Association. Updated from American Diabetes Association. Standards of medical care in diabetes--2014. Diabetes Care 2014; 37 Suppl 1:S14. These recommendations are consistent with those published in Retinopathy, Neuropathy, and Foot Care: Standards of Medical Care in Diabetes-2024. Diabetes Care 2024; 47:S231.

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Ophthalmologic examination schedule