Diabetic Retinopathy (Diabetic Eye Disease) – Diabetes Complications

by Carlo Raj, MD

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    Let’s go into each one of these chronic complications in greater detail. The topic here, if the diabetes is not controlled properly, which is unfortunately a leading cause of blindness in adults in the United States is diabetic retinopathy; leading cause of renal failure in the United States, diabetic nephropathy. You want to make sure you know everything about these two major chronic, chronic complications. Remember the chronic complications of type 2 diabetes will take a little bit longer, but nonetheless could very well occur, unfortunately does in a type 1 diabetic. You still would call this chronic complication, but things have been accelerated quite a bit because of the variability of insulin control. Usually asymptomatic and that is what makes it so scary. So, you have a patient who is coming in obese, family history of diabetes, what is your next step in management? Well, everything seems to be checking out, but make sure that you are properly referring your patient to get an eye check for sure, optometrist at least; ophthalmologist whatever, point being is that eye check. You are checking for cataracts and more importantly, you are checking for diabetic retinopathy because this will then cause especially if the retina is being detached, the retina becomes detached, that’s it, permanent blindness, permanent blindness. Annual ophthalmology screening starting 5 years after type 1 diabetes and shortly after initial type 2 diabetes mellitus diagnosis has been made, no joke, because the patient doesn’t know any better; asymptomatic on top of that, you need to be vigilant. Treat it with laser, photocoagulation to prevent visual loss. Literally, we want to make you do everything in your power to obliterate some of the blood vessels that have been damaged and make sure that you are constantly checking for retinal detachment. So,...

    About the Lecture

    The lecture Diabetic Retinopathy (Diabetic Eye Disease) – Diabetes Complications by Carlo Raj, MD is from the course Pancreatic Disease & Diabetes.

    Included Quiz Questions

    1. Annually by an ophthalmologist
    2. Every 5 years by an ophthalmologist
    3. Annually by a primary care provider and every 5 years by an ophthalmologist
    4. At least twice a year after diagnosis
    5. Every 5 years by a primary care provider
    1. Orbital pain
    2. Cotton wool spots
    3. Dot-blot hemorrhages
    4. Neovascularization
    5. Microaneurysms
    1. Photocoagulation
    2. Carbonic anhydrase inhibitor
    3. Laser eye surgery
    4. Cataract removal
    5. Exogenous VEG-F
    1. Cotton wool spots
    2. Neovascularization
    3. Vitreous hemorrhage
    4. Fibrosis
    5. Macular edema

    Author of lecture Diabetic Retinopathy (Diabetic Eye Disease) – Diabetes Complications

     Carlo Raj, MD

    Carlo Raj, MD

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