Case #44 Proliferative Diabetic Retinopathy

History

A 34 year old juvenile onset diabetic comes to your office with no ocular symptoms. Fundus photographs of the left eye reveal.

Photo #1

Photo #2

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Question #1

What do the two fundus photographs reveal?

Question #2

What are the causes of these findings?

Question #3

What is the appropriate treatment of these findings?

Question #4

What other questions would you ask this patient?

Question #5

How frequent should you examine diabetic patients? What is the risk of them developing retinopathy?

Question #6

What is the risk to these eyes if they are not treated?

Question #7

Describe the changes in the following photograph?

Photo #3

References

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

The Diabetic Retinopathy Study Research Group: Photocoagulation Treatment of Proliferative Diabetic Retinopathy: The second report of diabetic retinopathy study findings. Ophthalmology 1979; 85:82-105.

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