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Retinopathy, Diabetic

Richard W. Allinson, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Noninflammatory retinal disorder characterized by retinal capillary closure and microaneurysms. Retinal ischemia leads to release of a vasoproliferative factor, stimulating neovascul...

DIAGNOSIS

HISTORY

Diabetic patients should be encouraged to have an annual ophthalmologic exam because early eye changes may be asymptomatic. 

PHYSICAL EXAM

  • Eye exam: measurement of visual acuity and doc...

TREATMENT

GENERAL MEASURES

  • The Diabetes Control and Complications Trial (DCCT) recommended that for most patients with insulin-dependent DM, blood glucose levels should be as close to the nondiabetic r...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Scheduled ophthalmologic eye exams 
  • Yearly follow-up if no retinopathy

  • Every 6 months with background DR

  • At least every 3 to 4 months with pre-PDR

  • E...

REFERENCES

1
Reddy RK, Pieramici DJ, Gune S, et al. Efficacy of ranibizumab in eyes with diabetic macular edema and macular nonperfusion in RIDE and RISE. Ophthalmology.  2018;125(10):1568–1574. [...

SEE ALSO

Diabetes Mellitus, Type 1; Diabetes Mellitus, Type 2 

CODES

ICD10

  • E11.319 Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema

  • E10.319 Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema

  • E10.3...

CLINICAL PEARLS

Options for the treatment of diffuse macular edema include focal laser treatment, intravitreal triamcinolone, intravitreal ranibizumab, intravitreal bevacizumab, intravitreal afliberce...

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