Management
8
Table 4. Comprehensive Medical Eye Evaluation for Patients
with Diabetes Mellitus or Risk Factors for Glaucoma
Condition/
Risk Factor Frequency of Evaluation
a
Diabetes Mellitus
Recommended Time of
First Examination Recommended Follow-up
a
Type 1
5 years aer onset
b
(II++, M, S)
Yearly (II++, M, S)
Type 2 At time of diagnosis
(II++, M, S)
Yearly (II++, M, S)
Prior to pregnancy
(Type 1 or 2)
Prior to conception and early in
the first trimester (II++, G, S)
See Diabetic Retinopathy PPP
(www.aao.org/ppp) for interval
recommendations based on
findings at first examination
(II++, G, S)
Risk Factors
for Glaucoma Frequency of Evaluation
a
Age ≥65 years
Every 1–2 years
a
(M, S)
Age 55–64 years Every 1–2 years (M, S)
Age 40–54 years Every 1–3 years (M, S)
>40 years Every 1–2 years (M, S)
a
e ophthalmologist's assessment of degree of risk, abnormal findings, or potential loss of visual
function may dictate more frequent follow-up examinations than listed in this table. If the patient
has additional glaucoma risk factors, the Primary Open-Angle Glaucoma Suspect PPP
(www.aao.org/ppp) should be consulted.
b
Some patients may require refractive management during this period.
