A 45 year old man is diagnosed with diabetes at his present visit for the first time. When should he visit an ophthalmologist-: (A) On his 50th bihday, (B) When dimness of vision stas, (C) Before his 50th bihday, (D) Immediately at time of diagnosis.
Answer is D. Screening for diabetic retinopathy To prevent visual loss occurring from diabetic retinopathy a periodic follow-up is very impoant for a timely intervention. The recommendations for periodic fundus examination are as follows : First examination, 5 years after diagnosis of type 1 DM and at the time of diagnosis in type 2 DM. Every year, till there is no diabetic retinopathy or there is mild NPDR. Every 6 months, in moderate NPDR. Every 3 months, in severe NPDR Every 2 months, in PDR with no high-risk characteristics. Ref;A.K.Khurana; 6th edition; Page no: 280