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Diabetic Retinopathy

The UK NSC policy on Diabetic Retinopathy screening in adults

More Information

Diabetic retinopathy is one of the most common causes of blindness in the UK. Retinopathy means damage to the tiny blood vessels (capillaries) that nourish the retina, the tissues in the back of the eye that deal with light. Damage to these vessels causes blood leakage (haemorrhage), which may be small and confined to the retina or may extend forward into the jelly that fills the main cavity of the eye (the vitreous gel). This can seriously affect your vision.

» Read more about diabetic retinopathy on NHS Choices

Policy Position

A national screening programme for sight threatening diabetic retinopathy is being rolled out across the UK.

This policy was reviewed in May 2005 but no significant changes were made. It is due to be considered again in 2012/13, or earlier if significant new evidence emerges.

Screening in the UK

Compare how screening is offered across the UK.

Evidence Supporting the Policy

The UK NSC, working in partnership with the relevant professional organisations, reviewed the evidence about screening for sight threatening diabetic retinopathy and has made recommendations for action, which are being enacted in Scotland, Wales and N. Ireland.

In England, the Diabetes National Service Framework (NSF) set a target that by 2006, a minimum of 80% of people with diabetes are to be offered screening for the early detection (and treatment if needed) of diabetic retinopathy, as part of a systematic programme that meets national standards, rising to 100% coverage of those at risk of retinopathy by end of 2007.

A Health Technology Assessment report supports digital imaging in a national screening programme.

Health Technology Assessment (HTA) vol 7, no. 30. The value of digital imaging in diabetic retinopathy

Stakeholders

Association of Optometrists
British Association of Retinal Screeners
The College of Optometrists
Diabetes UK
Medical Imaging DRSS
Royal College of Ophthalmologists
Royal National Institute of Blind People (RNIB)

The stakeholder groups will be involved when the policy is next reviewed. If you think your organisation should be added, please contact us.

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