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Table 1 Diabetic retinopathy (DR) grading based on the National Health Service Grading Classification System [17] with follow-up recommendations adapted from the American Academy of Ophthalmology [18]

From: Feasibility and efficacy of diabetic retinopathy screening among youth with diabetes in a pediatric endocrinology clinic: a cross-sectional study

Grade

Description

Recommendation

R0

No diabetic retinopathy

Re-evaluate in twelve months with either eye care provider or photographic screening

R1

Background DR

Refer to eye care provider

R2

Pre-proliferative DR

Refer to ophthalmologist promptly

R3

Proliferative DR

Refer to ophthalmologist promptly

M

Maculopathy

Refer to ophthalmologist promptly

P

Photocoagulation

Refer to eye care provider

U

Unclassifiable/Ungradable

Refer to eye care provider