Date of last review: Due to be updated

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 pan-retinal laser

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

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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