Diabetic Retinopathy Documentation System
Complete diabetic eye exam documentation with retinopathy grading, macular edema assessment, and PCP communication.
Diabetic retinopathy documentation includes severity grading, macular assessment, and coordination with primary care. Doctora automates DR classification, generates PCP letters, and ensures appropriate follow-up scheduling based on severity.
Common Symptoms
Often asymptomatic in early stages
Blurred vision
Floaters or spots
Dark areas in vision
Difficulty with color perception
Vision loss (advanced stages)
Diagnostic Tests
Dilated Fundus Exam
Retinal assessment
Fundus Photography
Document retinal changes
OCT Macula
Detect macular edema
Fluorescein Angiography
Vascular assessment
Wide-field Imaging
Peripheral retina evaluation
Documentation
Essential Documentation for Diabetic Retinopathy
DR severity grading
CriticalMacular involvement
CriticalHbA1c documentation
ImportantPCP communication
CriticalFollow-up scheduling
CriticalAI Solutions
How Doctora Streamlines Diabetic Retinopathy Documentation
Automated DR grading
Consistent severity classification
PCP letter templates
One-click communication to primary care
Photo documentation
Integrate retinal images with notes
Follow-up calculator
Schedule based on DR severity
Patient education
Generate severity-specific handouts
Treatment
Treatment Options for Diabetic Retinopathy
Blood Sugar Control
Primary prevention strategy
Anti-VEGF Injections
For macular edema
Laser Photocoagulation
For proliferative DR
Vitrectomy
For advanced complications
Steroid Injections
Alternative for DME
Billing Codes
Common ICD-10 Codes for Diabetic Retinopathy
Doctora automatically suggests appropriate codes based on your documentation
E11.319
Type 2 DM with unspecified DR without macular edema
E11.3211
Type 2 DM with mild NPDR with macular edema, right eye
E11.3591
Type 2 DM with proliferative DR with macular edema, right eye
Patient Education Topics
Importance of blood sugar control
Regular eye exam schedule
Warning signs to report
Lifestyle modifications
Follow-up Protocol
Annual for no DR, 6-9 months for mild-moderate NPDR, 3-4 months for severe
Streamline Your Diabetic Retinopathy Documentation Today
Join optometrists using Doctora to improve documentation quality while saving hours daily.
14-day free trial • No credit card required • Works with your EHR