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Diabetic retinopathy: management and monitoring

  • NICE guideline
  • Reference number: NG242
  • Published:  13 August 2024
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Research recommendations coming out of this guidance

  • What are the clinical features or factors that suggest treatment should be switched or stopped for people with diabetic macular oedema?

  • What are the prognostic factors for the progression of non-proliferative diabetic retinopathy to proliferative diabetic retinopathy, diabetic macular oedema and macular ischaemia?

  • What is the effectiveness and acceptability of observation, anti-vascular endothelial growth factor agents (anti-VEGFs) and laser photocoagulation (alone or in combination) for the treatment of severe non-proliferative diabetic retinopathy?

  • In people experiencing a rapid, substantial reduction in HbA1c, what is the risk of short-term progression of diabetic retinopathy or diabetic macular oedema, and is there a risk of long-term visual loss?

  • What is the effectiveness and acceptability of combination treatments for proliferative diabetic retinopathy?

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