67-year-old female with a history of HTN and DM complains of gradual, painless vision loss OD. Give your opinion.



Following changes secondary to diabetic and hypertensive retinopathy seen 1) Cotton wool spot - there are fluffy white spots on retina secondary to ischemia 2) Dot and blot hemorrhage - tiny small hemorrhage spots on retina 3) Flame shaped hemorrhage - seen asking blood vessels - shape of flame hence the name 4) Macular edema Multiple changes seen secondary to diabetic and Hypertensive retinopathy

Pt is hypertensive and diabetic There are many hemorrhagic patches and thinning and narrowing of retinal arteries Hard cottonwool exudateds all over retina Retina itself is oedematus and indented at More than one place Diabetic hypertensive retinopathy

Thanx dr Dinesh Gupta

It's proliferative diabetic retinopathy with grade 3 hypertensive fundus changes So it's mixed retinopathy Check indirect retinopathy Visual acuity Plan for intravitreal anti vegf

Proliferative diabetic retinopathy Exudates,hemorrages and macular degeneration

Diabetic retinopathy- Proliferative Hard exudates, microaneurysms, hemorrhage, Macular degeneration

Grade 3 hypertensive retinopathy Tortuasity Ac changes arterioveinus napping Flame shaped ,&do&blot haemorrhages , cotton wow l exudates

non proliferative diabetic retinopthy with impending c r v oclusion


Diabetic retinopathy with macular degeneration.

punnarnavadi mandura + punarnavadi gugulu + suthshekhar ras + arogyavardhini vati: 1 each BD. Initially gave for 15 days trifala churna along with ghee and honey

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