Skip to main content
Guidance

Diabetic eye screening: retinal image grading criteria

Contains the retinal image grading criteria for NHS Diabetic Eye Screening (DES) Programme and information about how to record results.

Updates to this page

From:
NHS England
Published:
30 November 2012
Last updated:
4 December 2025
Show all updates

  1. Minor change to the description of the MBH image

  2. Updating form 'Standard Feature Based Grading Form to be used in Routine Digital Screening' from PDF to HTML, with minor revisions and updates to align with current guidance.

  3. Added clarification that publication was previously published by Public Health England.

  4. Updated guidance

  5. Converted from PDF to HTML and some images removed. Forms changed from PDF to open Word format.

  6. Document updated January 2017 to replace previous version.

  7. First published.

Applies to England

Documents

NHS Diabetic Eye Screening Programme: grading definitions for referable disease

HTML

Features-based grading outcomes guidance

HTML

Details

Definitions for retinal screening images graded by the NHS Diabetic Eye Screening (DES) Programme. Images can be used for training purposes.

Graders can use the feature based grading forms to record outcomes from both slit lamp biomicroscopy (SLB) and digital surveillance (DS).

Sign up for emails or print this page

Related content