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Diabetic Eye Disease Eye Care about My ABCs A Healthy Eyes Healthy People Project Sponsored in part by the AOA and VSP
Diabetic Eye Disease in Indiana ,[object Object],[object Object],[object Object],[object Object]
Diabetes in Indiana
Diabetic Retinopathy in Indiana
Where does it affect the eye? ,[object Object],[object Object]
Ocular Symptoms ,[object Object],[object Object],[object Object]
When does Diabetes start affecting the Eye? ,[object Object],[object Object],[object Object],[object Object]
When does Diabetic Retinopathy arise? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Diabetic Eye Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dilated Retinal Examination Fundus Lens and Slit Lamp Evaluation Binocular Indirect Opthalmoscope
 
The importance of Dilation Undilated pupil Same Eye--  pupil dilated
Clinical Classification ,[object Object],[object Object],[object Object],[object Object]
Mild  and  Moderate Nonproliferative Diabetic Retinopathy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mild Nonproliferative Diabetic Retinopathy Dot Hemorrhage
Moderate Nonproliferative  Diabetic Retinopathy Dot Hemorrhages Blot   Hemorrhages Hard Exudates
Severe Nonproliferative Diabetic Retinopathy ,[object Object],[object Object],[object Object]
Severe Nonproliferative  Diabetic Retinopathy- Early Blot Hemorrhages Cotton Wool Spot Flame Hemorrhages
Severe Nonproliferative  Diabetic Retinopathy- “pre-proliferative” Blot Hemorrhages Exudates Venous Beading IRMAs Looping capillaries
Proliferative Diabetic Retinopathy: ,[object Object],[object Object],[object Object],[object Object]
Proliferative Diabetic Retinopathy: NVI – neovascularization of the iris
NVE – neovascularization elsewhere
NVD – neovascularization of the disk
Serious Diabetic Retinopathy ,[object Object],[object Object]
New Diagnostic Modalities ,[object Object],[object Object],[object Object],[object Object],[object Object]
IVFA
IVFA
IVFA
Normal OCT
Diabetic Retinopathy OCT
OCT-Printout
How is neovascularization treated? ,[object Object],[object Object],[object Object]
Laser treatment strategies
Pan retinal laser ,[object Object]
New Treament Options for PDR ,[object Object],[object Object],[object Object]
Other surgical treatment ,[object Object],[object Object]
Diabetic Macular Edema ,[object Object],[object Object],[object Object]
Classification of Diabetic Macular Edema ,[object Object],[object Object],[object Object],[object Object]
Diabetic Macular Edema Hard Exudates and Macular Edema (CSME) Intraocular steroid injections attempt to reduce edema
Treatment Options for Macular Edema ,[object Object],[object Object],[object Object],[object Object],[object Object]
Vision Loss from Diabetic Retinopathy Normal or Mild Diabetic Retinopathy Severe Diabetic Retinopathy
Additional effects on the eyes ,[object Object],[object Object],[object Object],[object Object]
How is Diabetic Eye Disease avoided? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to find an Optometrist ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thanks and Credits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions??? ,[object Object]
QUIZ  #1 True or False ,[object Object],[object Object]
#2 True or False ,[object Object],[object Object]
#3 True or False ,[object Object],[object Object]
#4 True or False ,[object Object],[object Object]
#5 True or False ,[object Object],[object Object]
#6 True or False ,[object Object],[object Object]
#7 True or False ,[object Object],[object Object]
#8 True or False ,[object Object],[object Object]
#9 True or False ,[object Object],[object Object]
#10--  True or False ,[object Object],[object Object]

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