Dr. Michael Brent leads the development of a national Diabetic Retinopathy screening program that will be accessible to all Canadians living with diabetes. A best practices approach for early diagnosis and management of Diabetic Retinopathy will reduce blindness and visual disability. Tele-ophthalmology will be an important program component , with emphasis on indigenous and inner city communities. Patient engagement in research protocols, and attention to sex and gender issues will be essential cornerstones of program development. Novel imaging equipment, and automated grading software will be integrated into the screening program. A national clinical trials network will be established to assess new treatments for diabetic retinopathy.