Fundoscopy Diabetic Retinopathy Grading
Other conditions with diffuse retinal hemorrhage that can resemble hypertensive retinopathy include radiation retinopathy anemia and other blood dyscrasias ocular ischemic syndrome and retinal vein occlusion. The most important risk factors for developing diabetic retinopathy are the duration of diabetes and poor diabetic control other vascular risk factors like hypertension hyperlipidaemia and smoking also contribute to the risk of.
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Background retinopathy this means you have stage 1 retinopathy and should attend your next screening appointment in 12 months.
Fundoscopy diabetic retinopathy grading. Diabetic eye screening program. The condition is graded by examination of digital retinal photographs red free. B more severe standard 6b.
Degrees of referable retinopathy this means you have stage 2 or 3 retinopathy or diabetic maculopathy and should have more frequent tests or talk to a specialist about possible treatments. The diabetic eye screening program propose the following classification. If you learn the basic classification system early it makes this multifaceted disease easier to manage and helps your diabetic patients preserve their vision.
Diabetic retinopathy diagnostic assessment and treatment options have improved dramatically since the 2002 american diabetes association position statement 1. Two branches of the superior temporal venule show beading that is definite but not severe. Some centres use a more detailed classification based on the nsc system proposal.
Diabetic retinopathy is a form of micro angiopathy causing damage to the small blood vessels of the retina as a result of hyperglycaemia. Dr diabetic retinopathy. These improvements include the widespread adoption of optical coherence tomography to assess retinal thickness and intraretinal pathology and wide field fundus photography to reveal clinically silent microvascular lesions.
A less severe standard 6a. Npdr none proliferative retinopathy. Most large and small venule branches show severe beading.
Etdrs extension of the modified airlie house classification of diabetic retinopathy. And grade diabetic retinopathy in 124 subjects with type ii noninsulin dependent diabetes mellitus. The global burden of diabetic retinopathy includes.
387 million people with diabetes mellitus dm in the world estimated to increase to 592 million people in 2035. Worldwide diabetic retinopathy is the leading cause of blindness among working aged adults. 93 million people with diabetic retinopathy.
These three examination methods include ophthalmoscopy indirect and direct by a retina specialist seven standard field fundus photographs read by the same retina specialist and the same photographs. The landmark early treatment for diabetic retinopathy study etdrs in the 1980s established a series of disease stages that have structured subsequent studies. Diabetic retinopathy can be distinguished from hypertensive retinopathy by evaluation for the individual systemic diseases.
Affects 1 out of 3 persons with diabetes.
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