diabetes 12.16.03 AM

diabetes 12.16.03 AM - NVD NVE Laser burn scars Pre-retinal...

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DIABETES AND THE EYE
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EPIDEMIOLOGY Commonest cause of blindness in the population of working age in developed countries Prevalence of DR of any severity in the diabetic population is 30% and prevalence of blindness due to DR is approximately 5%
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PATHOGENESIS
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RISK FACTORS Duration of DM Control of DM. Will not prevent but delays Hypertension Renal Disease Pregnancy Obesity, hyperlipidaemia, smoking, anaemia
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CLINICAL CLASSIFICATION OF DIABETIC RETINOPATHY Background Pre-proliferative Proliferative End-stage diabetic eye disease
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Background Blot haemorrhage Exudate Microaneurism
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Diabetic maculopathy Hard exudate
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Pre-proliferative Vascular tortuosity Haemorrhage CWS Microaneurism
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Proliferative retinopathy
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Unformatted text preview: NVD NVE Laser burn scars Pre-retinal haemorrhage Advanced diabetic eye disease Preretinal fibrosis and tractional retinal detachment Rubeosis iridis End-stage diabetic eye disease • PHTHISIS Shrunken, soft eye with opaque vascularised cornea and no visual potential TREATMENT • LASER: Light Amplification by the Stimulated Emission of Radiation – Focal – Grid – Panretinal photocoagulation SCREENING • No retinopathy or BDR with normal vision – See yearly, or sooner if vision deteriorates • Refer to ophthalmologist – BDR with macular changes – BDR with decrease in vision – Pre-proliferative retinopathy – Proliferative retinopathy...
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diabetes 12.16.03 AM - NVD NVE Laser burn scars Pre-retinal...

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