Diabetic Retinopathy Follow-up Guidelines
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Questions and Answers

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

  • 10% (correct)
  • 20%
  • 15%
  • 5%

    • What retinal findings categorize Diabetic Retinopathy as Moderate Nonproliferative?

  • Soft exudates and cotton wool spots
  • Cotton wool spots and venous beading (correct)
  • Microaneurysms and flame hemorrhages
  • Exudates, venous beading, and IRMA

    • What is the key feature of Venous Beading in Diabetic Retinopathy?

  • Presence of saccular microaneurysms (correct)
  • Dilated capillaries as collateral channels
  • Obstruction of axoplasmic flow
  • Indicative of retinal ischemia

    • Which characteristic feature indicates retinal ischemia in Diabetic Retinopathy?

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

    What can lead to the formation of Intraretinal Microvascular Abnormalities (IRMA) in Diabetic Retinopathy?

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

    How do cotton wool spots in Diabetic Retinopathy affect axoplasmic flow?

    <p>They cause obstruction of axoplasmic flow</p> Signup and view all the answers

    What are the characteristics of High Risk Proliferative Diabetic Retinopathy (PDR)?

    <p>Presence of pre-retinal or vitreous hemorrhage</p> Signup and view all the answers

    What is the first-line treatment for central-involved macular edema with vision impairment in Proliferative Diabetic Retinopathy?

    <p>Anti-VEGF therapy</p> Signup and view all the answers

    What is the critical aspect to consider in patients with asymmetric Intraocular Pressures (IOPs) and neovascularization of the iris (NVI)?

    <p>Conduct gonioscopy</p> Signup and view all the answers

    Where can Neovascularization of the Iris (NVI) be first observed?

    <p>Pupillary margin</p> Signup and view all the answers

    What is the timeline for retinal consultation referral for patients with Non-High-Risk Proliferative Diabetic Retinopathy?

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

    Which characteristic is not part of High Risk Proliferative Diabetic Retinopathy?

    <p>Absence of pre-retinal hemorrhage</p> Signup and view all the answers

    What does the term Clinically Significant Macular Edema (CSME) indicate?

    <p>Increased risk for moderate vision loss</p> Signup and view all the answers

    According to the ETDRS, what is the risk of developing moderate vision loss in eyes with CSME and foveal involvement after 1 year?

    <p>Ten-fold greater compared to eyes without foveal involvement</p> Signup and view all the answers

    What are the characteristics that define Clinically Significant Macular Edema (CSME) based on retinal thickening?

    <p>Retinal thickening greater than 1 DD in size within 1 DD from the center of the macula</p> Signup and view all the answers

    What was the outcome of the large multicenter study sponsored by NEI which recruited over 3,700 patients?

    <p>Photocoagulation is effective in treating DME</p> Signup and view all the answers

    In the ETDRS, is aspirin considered effective in changing the course of diabetic retinopathy?

    <p>No</p> Signup and view all the answers

    When should Panretinal Photocoagulation (PRP) be initiated to be most effective?

    <p>Before DME develops</p> Signup and view all the answers

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