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Journal of Ophthalmology
Volume 2017, Article ID 8234186, 10 pages
https://doi.org/10.1155/2017/8234186
Review Article

Update on Diagnosis and Treatment of Diabetic Retinopathy: A Consensus Guideline of the Working Group of Ocular Health (Spanish Society of Diabetes and Spanish Vitreous and Retina Society)

1Spanish Retina and Vitreous Society (SERV), IMO (Institut Microcirurgia Ocular), Barcelona, Spain
2Spanish Society of Diabetes (SED), Endocrinology Department, Valme University Hospital and RAMSE Foundation, Sevilla, Spain
3Spanish Society of Diabetes (SED), Endocrinology and Nutrition Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
4Spanish Society of Diabetes (SED), Diabetes and Metabolism Research Unit and CIBERDEM (ISCIII), Vall d’Hebron Reseach Institute (VHIR), Barcelona, Spain
5Spanish Retina and Vitreous Society (SERV), Department of Ophthalmology, Castilla La Mancha University, Albacete, Spain
6University Hospital Puerta de Hierro-Majadahonda, Madrid, Spain
7Spanish Society of Diabetes (SED), Department of Endocrinology and Nutrition, University Clinic of Navarra, Pamplona, Spain
8Spanish Retina and Vitreous Society (SERV), Department of Ophthalmology, Nuevo Hospital Univeristario y Politécnico La Fe, Valencia, Spain

Correspondence should be addressed to Rafael Simó; gro.rihv@omis.leafar

Received 30 December 2016; Revised 20 April 2017; Accepted 23 May 2017; Published 14 June 2017

Academic Editor: Terri L. Young

Copyright © 2017 Borja Corcóstegui et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A group of members of the Spanish Retina and Vitreous Society (SERV) and of the Working Group of Ocular Health of the Spanish Society of Diabetes (SED) updated knowledge regarding the diagnosis and treatment of diabetic retinopathy (DR) based on recent evidence reported in the literature. A synthesis of this consensus forms the basis of the present review, which is intended to inform clinicians on current advances in the field of DR and their clinical applicability to patients with this disease. Aspects presented in this article include screening procedures of DR, new technologies in the early diagnosis of DR, control of risk factors in the different stages of the disease, indications of panretinal laser photocoagulation, efficacy of intravitreal antiangiogenic agents and steroids, and surgical options for treating DR-related complications. Practical information regarding periodicity of screening procedures in patients with type 1 and type 2 diabetes, ophthalmological controls according to the stage of retinopathy and complications, and criteria and degree of urgency for referral of a DR patient to the ophthalmologist are also presented.