UK diabetic retinopathy screening guidelines supported
medwireNews: Children with Type 1 diabetes may not need to undergo screening for sight-threatening retinopathy before the age of 12 years.
As reported in Diabetic Medicine, among 2125 children who underwent retinopathy screening at the age of 12 or 13 years as part of programmes in the UK, only three had sight-threatening or referable retinopathy at the initial screen. And of the three, two were considered to have nonreferable retinopathy at subsequent screens.
Follow-up images, obtained during an average of 3.1 years, were available for 1703 children, and showed the presence of sight-threatening retinopathy in 25 participants, equating to an annual incidence of 4.7 per 1000 individuals.
The low prevalence and incidence of sight-threatening retinopathy in this cohort support the UK guidelines, which recommend “annual digital photographic screening for all children over the age of 12 years and adults with diabetes”, say Peter Scanlon (Gloucestershire Retinal Research Group, Gloucester, UK) and colleagues.
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