Abstract
To the Editor. —Diabetes is responsible for more than 12% of all new cases of blindness 1 and 20% of all new blindness in individuals between the ages of 45 and 74 years. 2 Laser therapy is capable of decreasing visual loss by 50% or more in patients treated adequately and in time. 3 Despite the tremendous potential for laser therapy to reduce diabetic visual loss, there are three preliminary steps to adequate and timely therapy: (1) annual ophthalmologic evaluations after puberty or after five years of diabetes, whichever comes last 4 ; (2) adequate evaluation and appropriate treatment recommendations; and (3) follow through with the recommended treatment. Although there are no available data on the impact of laser therapy since its implementation in routine clinical practice, we have seen three patients with a breakdown in this process that interfered with the prevention of visual impairment. We have recently begun a
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