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A 1998 study reported baseline retinopathy levels were present in 39% of men and 35% of women with newly diagnosed Type 2 diabetes.
A 2002 study of 831 people with type 1 diabetes and 7,231 people with type 2 diabetes in Liverpool showed baseline diabetic retinopathy levels of 45.7% and 25.3% respectively.
Diabetic retinopathy is one of the leading cause of blindness in people of working age and is increasing in the elderly population.
A study in Scotland showed that 0.21% of people with diabetes have a chance of going blind, and 0.064% will go blind every year. If you apply these figures in England, this means that an estimated 4,800 people have the chance of going blind and 1,280 people would go blind if there was no systematic screening programme in place.
No. The only link with insulin is that it is often prescribed for people who have poor control of their diabetes. Poor control of diabetes increases the risk of developing diabetic retinopathy.
Major international trials have found other risk factors that increase the chances of developing diabetic retinopathy, including:Duration of Diabetes
We offer screening at various venues throughout the year. These can all be found on our Screening Venues tab on the website here.
The three types of venues include:
The UK National Screening Committee advises ministers and the NHS in all four UK countries on all aspects of screening policy. Its decisions are based on research evidence and informed by multi-disciplinary groups including healthcare professionals and patient representatives.
There are six main reasons why the UK NSC recommended a screening programme for sight-threatening diabetic retinopathy:
There are over 3.2 million people with diabetes identified by GP practices in England. It is estimated that in England every year there are around 4,200 people are at risk of blindness caused by diabetic retinopathy, and there are 1,280 new cases of blindness caused by the diseases.
Diabetic retinopathy screening in other countries has cut these figures by 80%. The screening programme therefore has the potential to reduce the numbers of new cases of blindness in England from an estimated 1,280 to 256, saving the sight of more than 1,000 people a year.
If you have type 1 or type 2 diabetes and are pregnant, you need special care as there are risks to both mother and baby associated with the condition.
You will be offered additional tests for diabetic retinopathy at, or soon after, your first antenatal clinic visit and also after 28 weeks of pregnancy.
If early stages of retinopathy are found at the first screening, you will be offered another test between 16 and 20 weeks of pregnancy. If serious retinopathy is found at any screening, you will be referred to a hospital eye specialist.Hyperglycaemia (gestational diabetes)
You should allow approximately 30 to 40 minutes for your appointment, though it can take longer if you require additional eye drops to dilate your pupils sufficiently.
If you are unable to get to your appointment on time, please contact the booking office on 01233 880000 to rearrange your appointment.
People with diabetes can make an informed choice to opt out of the screening programme.
They should confirm this decision in writing to the healthcare professional they have been communicating with.
Yes. Screening is only designed to detect diabetic retinopathy. You still need to see your optician regularly for a sight test for glasses and to check for other eye health problems such as glaucoma.
Patients are entitled to have regular NHS eye tests but this does not mean you have to have one. Please follow the guidance of your Eye Care Professional.
The eye drops used to dilate the pupils may cause some stinging for a few seconds, and for approximately two to six hours afterwards, your sight will be blurred and it will be difficult to focus. You should therefore not drive following your screening appointment.
Very rarely, the drops used can cause a sudden, dramatic rise in pressure within the eye. This only happens in people who are already at risk of developing this problem at some point in their lives.
Symptoms of acute pressure rise include:
If you experience any of these symptoms after screening, you should return to the eye unit or go to an accident and emergency department.
No screening programme is foolproof, and on rare occasions the process can sometimes miss changes that could threaten sight, although every effort is made to reduce the risk of this happening.
Possible screening results are:
Although not the primary purpose of the screening test, occasionally we do identify other conditions, and will make a referral for these “Non-Diabetic Retinopathy” conditions if appropriate.
If digital images are not clear enough to allow the image of your retina to be graded, then a second test using a method called slit lamp biomicroscopy will be required.
Laser treatment is the main treatment for diabetic retinopathy, with vitrectomy operations being undertaken for advanced cases.
Intravitreal injections of steroid triamcinolone are used when macular oedema does not respond to laser treatment, but there are known side effects and the evidence suggests only short-term benefits.
Inhibitors of Vascular Endothelial Growth Factor (VEGF) can also be used, but there is not enough high quality evidence to prove that this is the safest and most effective way to treat diabetic retinopathy. The National Institute of Clinical Excellence (NICE) is assessing this method of treatment.