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The International Classification of Diabetic Retinopathy. Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales. Ophthalmology 2003Sep;110(9):1677-82. The Classification of Diabetic Retinopathy. Mild Nonproliferative Diabetic Retinopathy:
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The International Classification of Diabetic Retinopathy Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales. Ophthalmology 2003Sep;110(9):1677-82.
The Classification of Diabetic Retinopathy • Mild Nonproliferative Diabetic Retinopathy: • Microaneurysm only • Moderate Nonproliferative Diabetic Retinopathy • Severe Nonproliferative Diabetic Retinopathy: 4, 2, 1
The Classification of Diabetic Retinopathy • Severe Nonproliferative Diabetic Retinopathy: • Microaneurysms and/or dot blot hemorrhages more than 20 dots in 4 quadrant • Venous beading in 2 quadrants • Intraretina Microvascular Abnormalities (IRMA) in 1 quadrant
The Classification of Diabetic Retinopathy • Proliferative Diabetic Retinopathy: • New vessels at the optic disc • New vessels elsewhere • Vitreous hemorrhage • Macular edema • Exudate at macular area
Flame-shaped hemorrhage Microaneurysm / dot blot hemorrhage
Key to DR screening • Right or left eye? • Optic disc: NV • Macula: exudate • Vessels: venous beading, NVE • Background: H/MA, cotton-wool spots, exudate, vitreous hemorrhage