Diabetic Retinopathy Follow-up Guidelines
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Questions and Answers

Which of the following is NOT a risk factor for severe vision loss from diabetic retinopathy?

  • Presence of moderate neovascularization (NV > standard photograph 10A)
  • Presence of new vessels on or near the disc (NVD)
  • Presence of pre-retinal hemorrhage (correct)
  • Presence of new vessels elsewhere (NVE)

    • What is the initial treatment of choice for central-involved macular edema with vision impairment?

  • Cryotherapy
  • Vitrectomy
  • Anti-VEGF therapy (correct)
  • Focal laser treatment

    • Which type of neovascularization is typically first observed at the pupillary margin?

  • Neovascularization of the iris (NVI) (correct)
  • Neovascularization on or near the disc
  • Neovascularization elsewhere (NVE)
  • Neovascularization of the disc (NVD)

    • How soon should a retinal consult be obtained for non-high-risk proliferative diabetic retinopathy (PDR)?

    <p>Within 2-4 weeks</p> Signup and view all the answers

    In patients with asymmetric IOP's, what is critical to consider?

    <p>Gonioscopy</p> Signup and view all the answers

    What finding characterizes High Risk PDR?

    <p>Presence of new vessels on or near the disc (NVD)</p> Signup and view all the answers

    What is the risk of progression to PDR for patients with Moderate Nonproliferative Diabetic Retinopathy?

    <p>5%</p> Signup and view all the answers

    Which retinal finding is indicative of retinal ischemia and obstruction of axoplasmic flow?

    <p>Cotton wool spots</p> Signup and view all the answers

    What characterizes Venous beading and Intraretinal Microvascular Abnormalities (IRMA) in Moderate Nonproliferative Diabetic Retinopathy?

    <p>Dilated capillaries that function as collateral channels</p> Signup and view all the answers

    In which stage of diabetic retinopathy do patients exhibit microaneurysms and hemorrhages greater than depicted in ETDRS standard photograph 2A?

    <p>Moderate Nonproliferative Diabetic Retinopathy</p> Signup and view all the answers

    What is the key differential diagnosis for Intra-retinal Microvascular Abnormalities (IRMA)?

    <p>Neovascularization</p> Signup and view all the answers

    What signifies the presence of Soft Exudates in Moderate Nonproliferative Diabetic Retinopathy?

    <p>Subsequent swelling of RNFL</p> Signup and view all the answers

    In the 4-2-1 Rule for diagnosing Severe Nonproliferative Diabetic Retinopathy, what is considered a criterion?

    <p>Microaneurysms / hemorrhaging in all 4 quadrants greater than ETDRS Standard Photograph 2A in FOUR retinal quadrants</p> Signup and view all the answers

    What is the recommended follow-up period for a patient with Moderate NonProliferative Diabetic Retinopathy without central involved macular edema?

    <p>6-9 months</p> Signup and view all the answers

    What condition warrants an earlier follow-up, typically within 2-3 months, even without central involved macular edema?

    <p>Prominent IRMA in at least one quadrant</p> Signup and view all the answers

    What is the risk of progression to Proliferative Diabetic Retinopathy (PDR) for patients with Severe Nonproliferative Diabetic Retinopathy?

    <p>52-75%</p> Signup and view all the answers

    Based on the study mentioned, when did retinal surgeons traditionally consider performing Panretinal Photocoagulation (PRP) for diabetic retinopathy?

    <p>After PDR develops</p> Signup and view all the answers

    What characterizes Very/Severe Nonproliferative Diabetic Retinopathy?

    <p>Presence of neovascularization in any quadrant</p> Signup and view all the answers

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