Retina · Diabetic ophthalmology

Screening for diabetic retinopathy

The first line of defence against diabetes-related vision loss, screening identifies retinal damage well before the first symptoms appear. It is a simple, painless examination that should be carried out regularly from the time of a diabetes diagnosis.

Patient in front of a retinal screening device

Why screen for diabetic retinopathy?

Diabetic retinopathy most often progresses without any symptoms in the early stages. By the time vision deteriorates, the damage is already established. Screening allows the first signs to be identified while they are still silent, so that action can be taken in time to preserve vision.

Early-stage retinopathy cannot be felt. Regular screening is the only way to detect it before it affects vision.

What does screening involve?

Screening is based on a simple and painless retinal examination. It most often includes:

  • visual acuity measurement;
  • fundus examination;
  • retinal imaging (retinal photography, sometimes OCT);
  • pupil dilation where necessary to improve the view of the retina.

Dr Gattoussi's expertise in retinal imaging allows a particularly thorough interpretation of these examinations.

How often should screening take place?

The frequency depends on your situation. As a general guide:

  • from the time of a diabetes diagnosis;
  • then at least once a year, even without any visual symptoms;
  • more frequently if diabetes is poorly controlled, if damage is already known, or during pregnancy.

The procedure

Screening takes place at the practice and requires no particular preparation, apart from possible pupil dilation.

  1. 1

    Visual acuity measurement

    Assessment of visual acuity.

  2. 2

    Retinal examination and imaging

    Fundus examination and retinal photographs, sometimes after dilation.

  3. 3

    Image analysis

    Detection of early signs of retinopathy and macular oedema.

  4. 4

    Report

    Results explained and shared with your GP and diabetologist.

And after screening?

If screening is normal, it is simply repeated at the recommended frequency. If an abnormality is found, closer follow-up is arranged, with laser treatment or injections if necessary, in coordination with the team managing your diabetes.

Learn more about intravitreal injections

Frequently asked questions

Is screening painful?

No, the retinal examination is painless. If dilation is used, vision may remain blurred for a few hours.

Is any preparation needed?

No particular preparation is required. If dilation is planned, it is best not to drive afterwards.

I have no visual symptoms. Do I still need to be screened?

Yes. That is precisely the point of screening: to identify damage before it becomes apparent.

See also

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Ophthalmology practice in Paris 11th. Online appointments via Doctolib, at any time. Sector 2 fees.