Diabetic eye screening pathways: patient, grading, referral, surveillance

This document sets out an overview of the operational pathways in the NHS Diabetic Eye Screening (DES) programme.


Diabetic eye screening pathway overviews

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This publication illustrates, step by step, the diabetic eye screening working processes.

The document includes the:

  • retinal screening patient pathway
  • referral pathway from screening to slit lamp biomicroscopy surveillance
  • referral pathway from screening to digital surveillance
  • referral pathway from screening or surveillance to hospital eye services for diabetic retinopathy management
  • single common grading pathway
  • pathway for pregnant women
Published 29 October 2012
Last updated 2 October 2017 + show all updates
  1. Updated pregnancy flowchart.
  2. Updated edition of pathway overviews document.
  3. First published.