Case #4 Nonproliferative Diabetic Retinopathy

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History

58-year-old maturity onset diabetic presents with a 6 month history of gradually progressive visual loss in the left eye. The first photograph is a fundus photo taken on the day of presentation. Two years later the ocular fundus was photographed again.

Photo #1

Photo #2 (Two Years Later)

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Question #1

What are the findings in the left fundus and what is your diagnosis?

Question #2

What is the yellow substance within the retina and what caused it?

Question #3

What questions would you ask the patient? What other things would you look for on the physical examination or laboratory studies?

Question #4

What is the appropriate treatment for the patient? Is any medical treatment effective?

Question #5

What is the long-term prognosis for this patient?

References

Fine SL, Patz A: Sights and Sounds in Ophthalmology. Vol 4. Diabetic Retinopahty. A slide-tape presentation of the Retinal Vascular Center, Wilmer Institute, Mosby.

Early Treatment Diabetic Retinopathy Study Research Group: Early treatment diabetic retinopathy study: Report I: Photocoagulation for Diabetic Macula Edema. Arch Ophthalmol 1885; 103:796-806.

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last updated: 10/10/2011