Table 1

Study clinical inclusion and exclusion criteria for new referrals with low-risk diabetes

Clinical criteriaDiabetes
  • No retinopathy (diabetic screening)

  • Mild non-proliferative diabetic retinopathy—microaneurysms only AND good vision (6/9 or better)

  • Moderate non-proliferative diabetic retinopathy—microaneurysms and mild retinal pathology, for example, haemorrhages, cotton wool spots AND good vision (6/9 or better)

  • Diabetic macular oedema or clinically significant macular oedema (new hard exudates)

  • Severe non-proliferative diabetic retinopathy—numerous microaneurysms, haemorrhages, reduced vision.

  • Proliferative diabetic retinopathy—abnormal vascular proliferation is seen in one or more sites; iris, optic or elsewhere

  • Vitreous haemorrhage, pre-retinal haemorrhage, severe retinal haemorrhage

  • Vision worse than 6/9 without clear reason, for example, cataract

Additional exclusion criteria
  • Patients requiring interpretation services

  • Justice health patients

  • Patients ineligible for Medicare*, such as non-residents

  • Patients with known infectious disease, for example, tuberculosis

  • Patients unable to cooperate, for example, dementia

  • Hospital inpatients

  • Patients <16 years of age

  • *Medicare is Australia’s universal healthcare scheme which covers all Australian residents for public healthcare services. It includes cover for eye examinations by optometrists and was the funding model used by optometrists for Community Eye Care examinations. Patient’s ineligible for Medicare would continue to be seen at as private patient in the public hospital system.