Date of last review: Due to be updated

Differential diagnosis

  • Retinal vein occlusion
  • Age-related macular degeneration
  • Central serous retinopathy
  • Idiopathic macular telangiectasia

Possible management by Optometrist

Treatment

  • None

Advice

  • Observation by diabetes eye screening, if asymptomatic
  • Routine referral, if symptomatic, to ophthalmology, with images
  • Advise the importance of regular attendance at diabetes eye screening to preserve sight
  • Refer patient to General Practice to facilitate optimisation of blood pressure and glycaemic control

Management Category

  • Refer to Diabetes Eye Screening Service if asymptomatic
  • Refer to Ophthalmology if symptomatic

Possible management by Ophthalmologist

  • Intravitreal anti-vascular endothelial growth factor therapy
  • Intravitreal steroid therapy
  • Macular laser