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July 26, 2000

How Often Should Patients With Diabetes Be Screened for Retinopathy?

Author Affiliations

Stephen J.LurieMD, PhD, Contributing EditorIndividualAuthor

JAMA. 2000;284(4):437-439. doi:10.1001/jama.284.4.436

To the Editor: The study by Dr Vijan and colleagues,1 which questions the utility of yearly screening for diabetic retinopathy, is massively flawed. The authors ignore the key point that treating diabetic eye disease produces cost savings to society.2 This finding has now been replicated in Australia, the United Kingdom, the Scandinavian countries, and elsewhere and has driven public initiatives to prevent needless blindness in persons with diabetes mellitus.