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  • Diabetic Retinopathy

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    shakya
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    This document provides screening guidelines for diabetic retinopathy, which is a complication of diabetes that damages the blood vessels in the retina. It recommends annual retinal screening for all patients over age 12 with type 1 or 2 diabetes using visual acuity testing, fundus photos, and classification of any findings into various stages from background retinopathy to proliferative retinopathy or maculopathy. The stages represent increasing vascular pathology and recommended treatment ranges from close observation to urgent referral and interventions like laser photocoagulation or anti-VEGF injections.

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    Medicine notes

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    This document provides screening guidelines for diabetic retinopathy, which is a complication of diabetes that damages the blood vessels in the retina. It recommends annual retinal screening for all patients over age 12 with type 1 or 2 diabetes using visual acuity testing, fundus photos, and classification of any findings into various stages from background retinopathy to proliferative retinopathy or maculopathy. The stages represent increasing vascular pathology and recommended treatment ranges from close observation to urgent referral and interventions like laser photocoagulation or anti-VEGF injections.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    5 views1 page

    Diabetic Retinopathy

    Uploaded by

    shakya
    This document provides screening guidelines for diabetic retinopathy, which is a complication of diabetes that damages the blood vessels in the retina. It recommends annual retinal screening for all patients over age 12 with type 1 or 2 diabetes using visual acuity testing, fundus photos, and classification of any findings into various stages from background retinopathy to proliferative retinopathy or maculopathy. The stages represent increasing vascular pathology and recommended treatment ranges from close observation to urgent referral and interventions like laser photocoagulation or anti-VEGF injections.

    Copyright:

    © All Rights Reserved
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    of 1

    SCREENING BACKGROUND RETINOPATHY R1

    ALL OVER 12 Type 1&2 Microaneurysms

    VA + FUNDAL PHOTOS Dot &Blot haems

    Annual review unless Exudates


    problems
    Oedema

    SCREEN ANNUALLY PREPROLIFERATIVE


    PATHOLOGY
    RETINOPATHY R2
    Vascular Occlusion
    leading to ischaemia. IRMAs

    Vascular Leakage leading Venous beading &loops


    oedema and exudate.
    Large blot haems
    Ischaemia and
    Cotton Wool Spots
    inflammation leading to
    VEGF production leading
    DIABETIC REFER SOON
    to neovascularisation
    RETINOPATHY
    MEDICAL

    Glucose Control
    Blood pressure
    Renal function
    Lipids
    Obesity
    Anaemia
    Pregnancy MACULOPATHY M1 PROLIFERATIVE
    Smoking
    RETINOPATHY R3
    Same changes but in
    critical position. New Vessels
    TREATMENT
    GEOGRAPHY MATTERS! On disc or elsewhere
    MEDICAL CONTROL
    Vitreous Haemorrhage
    BACKGROUND observe only
    Rubeosis
    PREPROLIFERATIVE close observation /pan retinal
    REFER URGENTLY
    photocoagulation P2
    MA’s
    PROLIFERATIVE pan retinal photocoagulation
    Exudates
    VITREOUS HAEMORRHAGE pan retinal
    photocoagulation/ vitrectomy/anti VEGF Oedema

    MACULOPATHY focal laser P1 /anti VEGF Haems

    Ischaemia

    Anne Gobbett 2019 SEI REFER SOON

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