.74; 95% CI: 2.53-5.53, P<0.001). In the clinical scenarios where clinically significant macular oedema was concurrently present with cataract or proliferative diabetic retinopathy,>26% referred to retinal subspecialists for management; 85% of the remaining ophthalmologists performed macular laser first. Respondents with practice duration>15 years were 7.8 times (P = 0.001) more likely to perform cataract surgery first.