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Diabetic  Eye Disease
Diabetic  Eye Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy - Prevalence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Type 1 vs Type 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy - Prevalence ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy DM Risk factors for Type 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy –Morbidity Risk ,[object Object],[object Object],[object Object]
Diabetic Retinopathy History & Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy History & Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Diagnostic Techniques & Signs MA seen in moderate NPDR
Diabetic Retinopathy Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Diagnostic Techniques & Signs Intra-retinal haemorrhages seen in moderate NPDR
Diabetic Retinopathy Diagnostic Techniques & Signs Intra-retinal lipid exudates seen in moderate NPDR
Diabetic Retinopathy Diagnostic Techniques & Signs Little effect on VA until extensive foveal coverage Affect VA if at fovea Rare before 45 years old Present at any age Random patterns Form streaks or circles Do not re-absorb Can re-absorb At posterior pole Near vascular lesions No vascular disease Vascular disease In Bruch’s membrane, poorly defined edges In OPL and sharp-edged Drusen Intra-retinal lipid exudates
Diabetic Retinopathy Diagnostic Techniques & Signs Cotton wool spots seen in moderate NPDR
Diabetic Retinopathy  Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Diagnostic Techniques & Signs Venous loop seen in severe NPDR Venous beading and IRMA  seen in severe NPDR
Diabetic Retinopathy Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Diagnostic Techniques & Signs NVD  seen in   PDR NVE  seen in   PDR
Diabetic Retinopathy Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy  Diagnostic Techniques & Signs Pre-retinal haemorrhage seen in PDR Vitreous  haemorrhage seen in PDR
Diabetic  Retinopathy Diagnostic Techniques & Signs Traction retinal detachment  seen in PDR
Diabetic Maculopathy Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Maculopathy  Diagnostic Techniques & Signs Focal Maculopathy
Diabetic Maculopathy  Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Maculopathy  Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic  Maculopathy   Diagnostic Techniques & Signs Clinically Significant Macular Oedema
Diabetic Eye Disease Anterior Segment Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Eye Disease Anterior Segment Diagnostic Techniques & Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Eye Disease Anterior Segment Diagnostic Techniques & Signs Rubeosis Iridis
Diabetes Mellitus Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Diabetes Mellitus Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetes Mellitus Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetes Mellitus Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetes Mellitus Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetes Mellitus Management ,[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],[object Object]
Diabetic Retinopathy Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Management ,[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Management Minimal or Mild Background DR Low risk Background DR  Routine Care Recall for annual review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Early Review Recall and review every 3 - 6 months Unexplained drop in VA Hard exudates within 1DD of fovea Macular oedema Unexplained retinal findings Pre-proliferative or severe DR Referral Ophthalmologist within 4 weeks New vessels Pre-retinal and/or vitreous haemorrhage Rubeosis Iridis Urgent Referral Ophthalmologist within 1 week Sudden loss of vision Retinal detachment Emergency Referral Ophthalmologist same day Condition Action
Diabetic Retinopathy Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Management ,[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Retinopathy Management Pan-retinal photocoagulation
Diabetic Retinopathy Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Maculopathy Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Maculopathy Management Grid pattern photocoagulation at macula, just post-treatment
Diabetic Eye Disease Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Eye Disease Associated Conditions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Eye Disease Associated Conditions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetic Eye Disease Clinical Pearls ,[object Object],[object Object],[object Object],[object Object]

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Diabetic Eye Disease