Despite significant accumulated clinical evidence in diabetic disease of the eye (DDE), treatment decisions continue to require a degree of management personalization based on individual patient parameters and needs; this publication aims to assist practitioners in the field by providing a spectrum of acceptable opinions from recognized experts.

The retinal examination in DDE not only informs the treating ophthalmologist but can serve as a global index for disease progression across many tissues in the body.

Vision loss remains the single most-feared complication by patients with diabetes, and prevention of visual complications requires early screening, timely treatment, and a multidisciplinary management approach.

While DDE can be treated regardless of diabetic control, a systemic approach to patient care will result in the best health outcomes.

Ophthalmologists must tailor their clinical approach to the needs and circumstances of individual patients, and work within the realities of their healthcare setting.