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Donald S. Fong, MD, MPH; Justin Gottlieb, MD; Frederick L. Ferris III, MD; Ronald Klein, MD, MPH

Arch Ophthalmol. 2001;119:758-760.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Regular dilated eye examinations are an effective approach to detecting and treating vision-threatening diabetic retinopathy.¹ They can help prevent blindness, and they are cost-effective.^2-3 Guidelines for systematic screening have been developed because patients with retinopathy are often asymptomatic, and photocoagulation treatment is more effective at reducing visual loss when applied at specific, frequently asymptomatic, stages of retinopathy.^4-5 However, despite the recommendations for regular screening and the availability of effective treatment, many patients at risk of visual loss due to severe retinopathy are not receiving dilated eye examinations and needed photocoagulation treatments.^6-7

Guidelines for the frequency of dilated eye examinations have been largely based on the severity of the retinopathy.^8-9 For patients with moderate to severe nonproliferative diabetic retinopathy, frequent eye examinations are often necessary to determine when to initiate treatment. However, for patients . . . [Full Text of this Article]

From the Department of Ophthalmology, Southern California Permanente Medical Group, Baldwin Park (Dr Fong); Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison (Drs Gottlieb and Klein); and the Division of Biometry and Epidemiology, National Eye Institute, National Institutes of Health, Bethesda, Md (Dr Ferris).

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