Diabetic Retinopathy

1st pic Normal ratina 2nd pic Diabetic retinopathy 28 f Type 1 DM with HbA1C 14

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The progression rate of retinopathy is 37% less for each 10mmol/l (1%) reduction in the HbA1C or 1mmol/l of blood sugar. Teamwork is crucial to good diabetic control: the patient is the focus, but assistance from many health professionals is usually needed to assist good control. HbA1c is linked to retinopathy . Mulitple risk factors including micoraneurysms . Elevated HbA1c can be used to caculate a risk index . Asian patients get more retinopthy for the same HbA1c. In addition, retinopathy can develop despite good control, if the control years previously was poor ('legacy effect'). (Shown by DCCT and UKPDs studies.) Pl go thru an excellent latest update by Dr.Sepuri Mohan some days before exectlly on this topic. He explained me personally in detail.

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HbA1C14 is about average blood sugar in last 3 months was 355 mg /dL this is very high .As shown in 2nd photograph showing microaneurysms dot & blot hemorrhages CW exudates , hard exudates , toruocity of vessels. This is preproliferative diabetic retinopathy

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Cotton wool exudates with narrowing of retinal vessels Suggest diabetic retinopathy Needs laser shots with strict conyrol of diabetes and bp

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It's proliferative diabetic retinopathy having NVE Strict diabetic control , intravitreal antivegf , monthly fundus examination

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1st pic--Central retrial artery Occlusion 2nd pic--NPDR

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SUGGESTIVE OF DIABETIC PROLIFERATIVE RETINOPATHY

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1.CRAO 2.NPDR

Preprollifative diabetic retinopathy with tortuous vessels ,cotton wool spots, hard exudates dot& blot hemorrhages with microaneurysms and clinically significant edema

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