Diabetes complications

IDF diabetes Atlas: A worldwide review of studies utilizing retinal photography to screen for diabetic retinopathy from 2017 to 2024 inclusive

Diabetes Res Clin PractPublished Systematic review and meta-analysis

Authors' conclusion

Global DR prevalence remains between 20 and 30%. However, variations in study design and regional practices limit trend interpretation. International screening guidelines, supported by advancing technology, are needed to produce robust epidemiological data for global Eye Health policy planning.

Study context

Population
Studies using retinal imaging to screen for diabetic retinopathy (DR), English-language articles published 2017 to June 2024, across the 7 IDF regions42 studies
Outcome
Global prevalence of DR based on retinal imaging
Methodological details569 publications screened (blinded, Rayyan); databases: Cochrane Library, Embase, Medline
  • 569 publications screened (blinded, Rayyan); databases: Cochrane Library, Embase, Medline

Pooled result

As reported in the abstract

Global prevalence across the 7 IDF regions

Any DR

23 %

95 % CI: 20–26

Proliferative DR (PDR)

6 %

95 % CI: 3–9

Diabetic macular oedema (DMO)

5 %

95 % CI: 4–6

Sight-threatening DR (STDR)

11 %

95 % CI: 9–14

Further pooled results

Change vs 2015-2019 data

Any DR decreased
from 27 % to 23 %
PDR increased
from 1.4 % to 6 %
DMO remained stable
∼5%

Original publication

IDF diabetes Atlas: A worldwide review of studies utilizing retinal photography to screen for diabetic retinopathy from 2017 to 2024 inclusive. Diabetes Res Clin Pract. Published 25 June 2025. doi:10.1016/j.diabres.2025.112346

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