Clinical practice guidelines. Diagnosis and treatment of diabetic retinopathy

Abstract

Objective: to develop a guideline available to the staff of the second and third level of medical care, that includes recommendations based on the best available evidence about diagnosis and management of diabetic retinopathy (DR).

Methods: clinical questions were formulated and structured. Standardized sequence was established to search for practice guidelines from the clinical questions raised on diagnosis and treatment of DR. The working group searched clinical practice guidelines and found eleven; topic link take some recommendations. For recommendations not included in the reference guide the search process was conducted in Pub Med and Cochrane Library. The results were expressed as levels of evidence and grade of recommendation.

Conclusions: in Mexico diabetic retinopathy is a main cause of blindness in active economical population. It is necessary to establish a program for detection of risk population that  allow make early diagnosis and opportune management for reduce blindness patients. Equally important aware on need long-term good metabolic control is associated with better quality of life.