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Diabetic Eye Care

ICO Guidelines for Diabetic Eye Care

ICO Guidelines for Diabetic Eye Care Cover Image

The Guidelines are for the screening of diabetics, and to assess and treat people with diabetic retinopathy and other ocular complications of diabetes. They address the needs and requirements for the following levels of service:

  • Essential or core: for low resources, or resource-poor settings
  • Mid-Level: for some resources, or intermediate-resource settings
  • Current state-of-the-art: for abundant resources, or resource-rich settings.

The Guidelines are designed to be a working document and will be updated on an ongoing basis.  Translation and adaption for non-commercial local use is encouraged, but please credit ICO.  We welcome any feedback, comments, or suggestions.

The Guidelines were most recently updated with a publication date of January 2017.

If adapting, please credit the ICO for text and the ICO/Singapore Eye Research Institute for photographs.  Note the copyright information in the Word version of the Guidelines.

Access Translations of the Guidelines for Diabetic Eye Care

Initiative to Reduce Worldwide Vision Loss Related to Diabetes

The ICO Diabetic Eye Care Committee collected guidelines for screening, assessing, and treating diabetic eye disease to review as part of a new initiative to reduce worldwide vision loss related to diabetes. The ICO would like to thank everyone who contributed. 

In addition to the Guidelines, The ICO, the International Diabetes Federation, the World Council of Optometry, and the International Agency for the Prevention of Blindness released a Global Statement on Diabetes and Eye Heath calling for urgent action from governments, medical associations, service providers, and patient organizations.

Resources:  Guidelines for Screening, Assessing, and Treating Diabetic Eye Disease

Diabetic Eye Care Resources


Global Statement on Diabetes and Eye Heath

The ICO, International Diabetes Federation, World Council of Optometry, and International Agency for the Prevention of… More »


Tool for assessment of diabetes and diabetic retinopathy (TADDS)

In order to assess both management of diabetes and diabetic retinopathy in countries and to estimate the level of cooperation… More »


Diabetic Retinopathy: A Position Statement by the American Diabetes Association

Diabetic retinopathy diagnostic assessment and treatment options have improved dramatically since the 2002 American Diabetes… More »


DR Barometer Global Report

Bringing together the key findings of the 41-country DR Barometer Study. Comprising qualitative and quantitative evidence of,… More »


ICO and CBM Diabetic Retinopathy Manual

In 2013/2014, the ICO developed detailed guidelines for diabetic eye care. These were updated in 2016. CBM's regional… More »


The Silver Book: Diabetic Retinopathy

A detailed infographic of the socioeconomic effects of diabetic retinopathy that cites the challenges and opportunities of… More »

More Diabetic Eye Care Resources »

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