Table 2—

Considerations for activity limitation in diabetic retinopathy (3)

Level of DRAcceptable activitiesDiscouraged activitiesOcular reevaluation
No DRDictated by medical statusDictated by medical status12 months
Mild NPDRDictated by medical statusDictated by medical status6–12 months
Moderate NPDRDictated by medical statusActivities that dramatically elevate blood pressure4–6 months
  Power lifting
  Heavy Valsalva
Severe NPDRDictated by medical statusActivities that substantially increase systolic blood pressure, Valsalva maneuvers, and active jarring2–4 months (may require laser surgery)
  Boxing
  Heavy competitive sports
PDRLow-impact, cardiovascular conditioningStrenuous activities, Valsalva maneuvers, pounding or jarring1–2 months (may require laser surgery)
  Swimming  Weight lifting
  Walking  Jogging
  Low-impact aerobics  High-impact aerobics
  Stationary cycling  Racquet sports
  Endurance exercises  Strenuous trumpet playing
  • DR, diabetic retinopathy; NPDR, nonproliferative diabetic retinopathy.