Table 1—

Ophthalmologic examination schedule

Patient groupRecommended first examinationMinimum routine follow-up*
Type 1 diabetesWithin 3–5 years after diagnosis of diabetes once patient is age 10 years or olderYearly
Type 2 diabetesAt time of diagnosis of diabetesYearly
Pregnancy in preexisting diabetesPrior to conception and during first trimesterPhysician discretion pending results of first trimester exam
  • *

    * Abnormal findings necessitate more frequent follow-up.

  • Some evidence suggests that the prepubertal duration of diabetes may be important in the development of microvascular complications; therefore, clinical judgment should be used when applying these recommendations to individual patients.