retinal vascular disease Flashcards
most common symptom of diabetic retinopathy
NO SYMPTOMS!
only symptoms later stage of disease
2 common symptoms of diabetic retinopathy when you have symptoms are
blurred vision
floaters
pathophysiology of DR
- cap membrane thickens
- pericytes lost
- BRB lost
- retinal vascular dysfunction
Non proliferative diabetic retinopathy
damage to blood vessels
what causes the leaking/macular edema
microaneurysms
classic signs of severe NPDR
- Venous bleeding
- Intraretinal microvascular anomalies
what is the most common cause of vision loss in Diabetic retinopathy
macular edema
2 ways to treat macular edema - in non-proliferative retinopathy
- laser
- anti-vegf intravitreal injections
- steroids
ways to treat proliferative DR
- PRP photocoagulation - laser bulk of peripheral retina
if with mac edema add antiVEGF
what are the 3 complications of PDR
- Vitreous hemorrhage
- Retinal detachment
- Neovascular glaucoma
Main complication of CRVO - central retinal vein occlusion
- Neovascularization at the iris - glaucoma
Main complication of BRVO
macular edema/ischemia -
Main work up for CRAO
- cherry red spot
- edema
- check atherosclerotic risk factors
- R/O GCA