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)

Table 3

Recommended ophthalmological controls in patients with DR according to stage and complications.

DR stageControl periodicity

Nonproliferative diabetic retinopathy (NPDR)
 Mild
  Diabetic macular edema (DME)
   Present
    (i) Non-CIDMEEvery 6 months
    (ii) CIDMEEvery 1–4 months
   AbsentEvery 12 months
 Moderate
  Diabetic macular edema (DME)
   Present
    (i) Non-CIDMEEvery 3-4 months
    (ii) CIDMEEvery 1–4 months
   AbsentEvery 6–12 months
 Severe
  Diabetic macular edema (DME)
   Present
    (i) Non-CIDMEEvery 3-4 months
    (ii) CIDMEEvery 1–4 months
   AbsentEvery 6 months
Proliferative diabetes retinopathy (PDR)Every 3 months

In addition to optimizing blood glucose levels, lipid profile, and blood pressure. In this case, intraocular treatment with anti-VEGF is recommended as first-line therapy for most eyes.