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Articles on Diabetes |
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Recommended eye screening schedule: |
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Type of DM |
First retinal examination |
Follow up * |
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Type 1DM |
5
years after diagnosis |
One yearly |
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Type 2DM |
At the time of diagnosis |
One yearly |
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Before pregnancy |
Before conception and early in first trimester of
pregnancy |
If less than severe NPDR every 3-4months Otherwise
1-3 months |
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*If abnormal at 1st examination, the minimal follow-up is
dependent on the stage of retinopathy |
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Treatment: |
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Strict diabetic
and systemic control is the most important factor in the
management of DR and this should be emphasized to the
patients. |
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Laser Photocoagulation: |
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The advent of
laser photocoagulation of the retina has dramatically
changed the management of diabetic retinopathy. The
photocoagulation of non-proliferative diabetic retinopathy
with clinically significant macular edema is called macular
photocoagulation, and widespread photocoagulation for
proliferative diabetic retinopathy is called pan-retinal
photocoagulation (PRP). |
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Fig :
Gentle grid laser has been applied to the focal area of
retinal thickening only |
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Newer therapy
in DR: Periocular/intravitreal corticosteroids,
intravitreal anti VEGFs like Avastin, Lucentis, Macugen also
play role in different stages of DR. |
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Surgery in
Diabetic Retinopathy: Non-resolving vitreous
haemorrhages and tractional retinal detachment due to
fibro-vascular proliferation involving the macular region,
require surgical procedures such as vitrectomy, pealing of
epi-retinal membranes, endo-laser photocoagulation during
surgery and vitreous replacement with silicone oil. |
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In conclusion
Diabetic Retinopathy is a preventible cause of blindness and
management of this potentially blinding but preventable
disease should be a multidisciplinary approach. Early
screening and intervention help to deal with the problems of
diabetic retinopathy. |
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Lets make join hands together …………….to keep them see.
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