|
DIABETIC RETINOPATHY Retinopathy is the name given to 'disease of the retina' due to diabetes. OPHTHALMOLOGICAL CHANGES IN DIABETES
* the prevalence of diabetes is 1.5-3% in the population
(there are about 250 000 diabetic patients in Finland!)
u*
diabetic retinopathy is the most important cause for
blindness of 15 to 65 year old people in western countries
u*
GP or diabetologist is responsible about the screening
of diabetic retinopathy
|
|
| DIABETIC RETINOPATHY
DISEASE SEVERITY SCALE
|
|
| Findings Observable on Dilated Ophthalmoscopy
|
Proposed Disease Severity Scale |
| No abnormalities
|
No apparent retinopathy |
| Microaneurysms only
|
Mild nonproliferative diabetic retinopathy |
| More than just microaneurysms but less than
severe nonproliferative diabetic retinopathy
|
Moderate nonprolifeartive diabetic retinopathy |
| Any of the following: * more than 20 intraretinal haemorrhages in each of 4 quadrants * definite venous beading in 2+ quadrants * prominent intraretinal microvascular abnormalities in 1+ quadrants * AND NO signs of proliferative retinopathy
|
Severe nonproliferative diabetic retinopathy |
| One or more of the following: * neovascularization * vitreous/ preretinal haemorrhage |
Proliferative diabetic retinopathy |