Diabetic retinopathy Flashcards
1
Q
Classified into
A
non-proliferative diabetic retinopathy (NPDR)
proliferative retinopathy (PDR)
maculopathy
2
Q
Key features of NPDR
A
microaneurysms
blot haemorrhages
hard exudates
cotton wool spots (‘soft exudates’ - represent areas of retinal infarction)
3
Q
Key features of PDR
A
retinal neovascularisation
4
Q
Maculopathy
A
hard exudates and other ‘background’ changes on macula
5
Q
NPDR Mx
A
Observe
If severe - consider photocoagulation
6
Q
PDR mx
A
panretinal laser photocoagulation
intravitreal VEGF inhibitors
if severe or vitreous haemorrhage: vitreoretinal surgery
7
Q
Maculopathy mx
A
intravitreal VEGF inhibitors
8
Q
Example of intravitreal VEGF inhibitors
A
ranibizumab
