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Diabetic Retinopathy in Children

FIXME

Recommendations for Eye Screening in Children with Diabetes

  • American Diabetes Association
    • Comprehensive eye examination after they have had diabetes for 3-5 years if ≥ 11 years of age or puberty has started whichever is earlier
    • Repeat dilated and comprehensive exams every 2 years
    • Repeat exams can be less frequent (up to every 4 years) if A1C <8%
  • American Academy of Ophthalmology
    • For Type I Diabetes
      • First eye exam 5 years after onset of diabetes then annually thereafter
    • For Type II Diabetes
      • First eye exam at the time of diagnosis then annually thereafter

References

  1. Children and Adolescents: Standards of Care in Diabetes-2025. Diabetes Care. 2025;48(Supplement_1):S283-S305. doi:10.2337/dc25-S014.
  2. Diabetic Retinopathy Preferred Practice Pattern®. Flaxel CJ, Adelman RA, Bailey ST, et al. Ophthalmology. 2020;127(1):P66-P145.
  3. Pediatric Diabetic Retinopathy: Updates in Prevalence, Risk Factors, Screening, and Management. Lin T, Gubitosi-Klug RA, Channa R, Wolf RM. Current Diabetes Reports. 2021;21(12):56.
  4. Retinopathy in Diabetes. Fong DS, Aiello L, Gardner TW, et al. Diabetes Care. 2004;27 Suppl 1:S84-7.