April 1, 2022
Diabetic Retinal Eye Exam
HEDIS MEASURE:
The percentage of members 18–75 years of age with diabetes (types 1 and 2) who had a retinal eye exam.
BACKGROUND:
Diabetic retinopathy is the most frequent cause of new cases of blindness among adults aged 20–74 years in developed countries.
Type 1 Diabetes
Because retinopathy is estimated to take at least 5 years to develop after the onset of hyperglycemia, patients with type 1 diabetes should have an initial dilated and comprehensive eye examination within 5 years after the diagnosis of diabetes1.
Type 2 Diabetes
Patients with type 2 diabetes who may have had years of undiagnosed diabetes and have a significant risk of prevalent diabetic retinopathy at the time of diagnosis should have an initial dilated and comprehensive eye examination at the time of diagnosis1.
RECOMMENDATIONS:
TO CLOSE GAPS:
REFERENCES:
American Diabetes Association. 11. Microvascular complications and foot care: Standards of Medical Care in Diabetes 2021