As early as possible
After 5 years
After 10 years
When the patient becomes symptomatic
Answer: A. As early as possible.
Explanation: The recommendations of the American Diabetes Association, the American College of Physicians, and the American Academy of Ophthalmology (5) are as follows: type 1 diabetic patients with onset at 0–30 years should have the first screening examination at 5 years duration, whereas type 1 diabetic patients with later onset and type 2 diabetic patients should receive a dilated retinal examination by an ophthalmologist at diagnosis.
People with Type 1 diabetes should have annual examinations for diabetic retinopathy beginning five years after the onset of their disease, while those with Type 2 diabetes should have a prompt examination at the time of diagnosis, then at least yearly examinations thereafter. Women who develop gestational diabetes do not require an eye examination during pregnancy, and do not appear to be at increased risk for developing diabetic retinopathy during pregnancy. However, diabetics who become pregnant should be examined soon after conception and early in the first trimester of the pregnancy. The recommended follow-up is every 3-12 months for no retinopathy or moderate nonproliferative diabetic retinopathy (NPDR), or every 1-3 months for severe NPDR.