Patients who present with optic disc haemorrhages at diabetic retinopathy screening

Diabetic retinopathy screening presents itself as an opportunity to identify other eye conditions. This includes Glaucoma. One of the features of Glaucoma is optic disc haemorrhages which can be easily identified in retinal photos. Some optic disc haemorrhages can be due to DR, medication or valsalva (constipation, strenuous exercise, coughing). There is currently no guidance as to whether or not patients identified at screening with optic disc haemorrhages should be referred to ophthalmology for assessment. This audit looks at how many patients who present with optic disc haemorrhages at DR screening are actually confirmed to have Glaucoma. The patients are followed up a year later to see how many optic disc haemorrhages resolve.

The aim of the audit is to analyse whether screening programmes should be referring patients who present with optic disc haemorrhages and whether the current referral pathway used in the Birmingham and Black Country Screening Programme for optic disc haemorrhages is effective or whether it can be improved. Currently all optic disc haemorrhages get referred.

By Helen Wharton