1 / 38

Classification and treatment of Diabetic Retinopathy

Classification and treatment of Diabetic Retinopathy. Diabetic Retinopathy can be divided into various sub-types. Background diabetic retinopathy Diabetic maculopathy Proliferative diabetic retinopathy. Mild non-proliferative diabetic retinopathy. Microaneurysms commonest

michelewhite
Download Presentation

Classification and treatment of Diabetic Retinopathy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Classification and treatment of Diabetic Retinopathy

  2. Diabetic Retinopathy can be divided into various sub-types • Background diabetic retinopathy • Diabetic maculopathy • Proliferative diabetic retinopathy

  3. Mild non-proliferativediabetic retinopathy Microaneurysms commonest Rarely macular oedema

  4. Background Diabetic Retinopathy

  5. Moderate non-proliferativediabetic retinopathy Microaneurysms Cotton wool spots Superficial flame shaped haemorrhages Venous changes IRMA

  6. Severe non-proliferativediabetic retinopathy IRMA Venous beading Blotch haemorrhages In more than two quadrants of retina

  7. Management of severe NPDR ETDRS results suggest that PRP may be considered Associated risk factors :- Type 1 diabetes mellitus Arterial hypertension Pregnancy Lack of compliance Diabetic nephropathy

  8. Classification of diabetic maculopathy and macular oedema Focal exudative macular oedema Diffuse exudative macular oedema Ischaemic maculopathy Mixed forms

  9. Diabetic maculopathy causes 90% of visual loss from diabetes - but these patients retain navigating sight

  10. Treatment of focal exudative macular oedema

  11. Treatment of diffuse macular oedema

  12. Treatment of ischaemic diabetic maculopathy

  13. Proliferative Diabetic Retinopathy • New vessels elsewhere (NVE) • New disc vessels (NVD) High risk proliferative diabetic retinopathy - New vessels ( NVE/NVD) - Preretinal haemorrhage

  14. Proliferative retinopathy causes total blindness in 70% of untreatedeyes after 5 years onset of neovascularisation

  15. Treatment of NVE Mild NVE – focal treatment Severe NVE – PRP (600 – 800 burns)

  16. Treatment of NVD PRP 1500 – 3000 burns

  17. New Old

More Related