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Diabetic Eye

Retinopathy in DM

QuestionAnswer
What's the first type of DM retinopathy? Non proliferative
What's the Second type of DM retinopathy? Pre-proliferative
What's the third type of DM retinopathy? Proliferative
What's the forth type of DM retinopathy? Advanced retinopathy/maculopathy affecting the central retina
Name the characteristics of non-proliferative retinopathy. Dot hemorrhages/blot hemorrhages/hard edudate
In non-proliferative retinopathy, what is a hard exudate? Breakdown of the blood – retina barrier allows leakage of serum proteins and lipids
Name characteristics of the pre-proliferative phase of retinopathy. Cotton wool spots, Venus beading, Venus loops, intraretinal microvascular abnormalities
Name the characteristics of proliferative retinopathy. Neovascularization resulting in multiple preretinal and vitreous hemorrhage
Name characteristics of advanced retinopathy. Retinal fibrosis and detachment
What is maculopathy? What does it cause? Macula swelling and deterioration of visual acuity
What is used to evaluate the circulation of the retina? Intravenous fluorescein angiography
What is used to evaluate edema of the retina? Optical coherence tomography
What measures are important in limiting the progression of diabetic retinopathy? Tight glycemic control, tight control of blood pressure, treatment of dyslipidemia, smoking cessation, treatment of nephropathy.
When should type one diabetic patients be seen by an ophthalmologist? These diabetic patients should see an ophthalmologist 3 to 5 years after diagnosis.
When should type two diabetic patients be seen by an ophthalmologist? These diabetic patients should see an ophthalmologist shortly after diagnosis.
What type of photocoagulation is use for macular edema? Focal and grid photocoagulation
What type of photocoagulation is used for proliferative diabetic retinopathy? Panretinal photocoagulation
What is the leading cause of blindness in the developed world? Diabetic retinopathy
When is diabetic retinopathy symptomatic? Diabetic retinopathy is symptomatic in the late stages
Created by: DocSMartin
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