Management of Diabetic Retinopathy: An Overview

Boniuk, Isaac
July 1980
Angiology;Jul1980, Vol. 31 Issue 7, p462
Academic Journal
This article focuses on the management of diabetic retinopathy. Diabetic retinopathy can occur in three stages: nonproliferative, proliferative, or vitreous contracture. The background or nonproliferative stage is characterized by microaneurysms, retinal edema, hard exudates, retinal hemorrhages, cotton-wool patches, intraretinal microvascular abnormalities, and sclerosis of retinal arterioles. The treatment of diabetic retinopathy consists of light coagulation methods, pituitary ablation, scleral buckling, vitrectomy, and combined approaches. Some patients are beyond photocoagulation treatment. When a patient with extensive fibrosis is seen, photocoagulation can accomplish nothing. If treated, contracture most likely would cause bleeding or retinal detachment.


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