This guideline last updated 07/05/2022 9:45:19

Patients with no history of Diabetes

Peripheral retina visible and no retinal tear

• Retinal detachment advice
• Discharge

Poor view of periphery 

•  Retinal detachment advice
• Offer follow up in six weeks to look for hidden tear

No view of fundus

•  Assess all projection of light in all four quadrants
  •  If present detachment unlikely
  • If impaired, discuss with ophthalmology
• Retinal detachment advice
• Offer follow up in six weeks to look for hidden tear

Patient with Diabetes, but no previous laser

•  Assume new blood vessel present
  •  Highest risk is with new blood vessels growing off, or close to, the optic disc
•  Discuss with ophthalmology

Differential diagnosis

• Retinal detachment
• Intermediate uveitis

Possible management by Optometrist

Treatment

• None

Advice

• Advise of risk of retinal detachment and how to recognise

Management Category

• Urgent referral to ophthalmology

Possible management by Ophthalmologist

• Ultrasound
• Observation if no detachment
• Surgery if detachment, or non-resolving