By Peter Scanlon, Stephen Aldington, Charles Wilkinson, David Matthews
This useful scientific handbook covers the analysis, therapy - either clinical and surgical - and long term administration of eye difficulties in individuals with diabetes. aimed toward the MDT focused on the care of sufferers with diabetes, it emphasizes the significance of standard screening and early analysis and provides evidence-based suggestions.
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Additional resources for A Practical Manual of Diabetic Retinopathy Management
IX. Four-year incidence and progression of diabetic retinopathy when age at diagnosis is less than 30 years. Arch Ophthalmol 1989; 107(2): 237–43. Klein R, Klein BE, Moss SE, Davis MD, DeMets DL. The Wisconsin Epidemiologic Study of Diabetic Retinopathy. X. Four-year incidence and progression of diabetic retinopathy when age at diagnosis is 30 years or more. Arch Ophthalmol 1989; 107(2): 244–9. Klein R, Meuer SM, Moss SE, Klein BE. Retinal microaneurysm counts and 10-year progression of diabetic retinopathy.
Sen33 and Cusick34 described the regression of retinal hard exudates in patients with diabetic maculopathy after correction of dyslipidaemia. In 2004, Lyons35 demonstrated in the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Study cohort new associations between serum lipoproteins and severity of retinopathy in type 1 diabetes (Fig. 8). (a) (b) Fig. 7 (a) Uncontrolled hypertension in a person with diabetes. Right macular colour photograph showing flame haemorrhages, cotton wool spots and exudate encroaching in the right macular area.
15 Perivenous exudate. Fig. 17 Opacification of arteriolar walls. Fig. 16 Arteriolar narrowing. Arteriolar abnormalities Fig. 18 Arteriovenous nipping. Other arteriolar changes that occur in diabetic retinopathy are: 1 arteriolar narrowing (Fig. 16) 2 opacification of arteriolar walls (‘sheathing and white threads’) (Fig. 17) 3 arteriovenous nipping – narrowing of the venous diameter where it is crossed by a branch artery. It is often a feature of hypertension (Fig. 18). Fibrous proliferation on or within 1 disc diameter of the disc margin Fibrous proliferation at the disc (FPD) is fibrous tissue opaque enough to be seen at the disc or less than 1 disc diameter (DD) from the disc margin with or without accompanying new vessels (Fig.