Diabetic Retinopathy

Background

• Microaneurysms
• Retinal haemorrhages +/- any exudate

Pre-Prolif

• Venous Beading
• Venous looping
• IRMA
• Multiple deep round haemorrhages
• Cotton Wool Spots

Prolif

• NVD
• NV Elsewhere
• Pre-retinal/vit haem
• Pre-retinal fibrosis/tractional ret det

Photocoagulation

• Focal/grid macular
• Peripheral scatter
• Pain
• No driving that day
• Loss of visual field

Maculopathy

• Exudate within a disc area centred on fovea
• Circinate/group of exudates within macula
• Retinal thickening within a DA centred on fovea (seen on stereo photo)
• Microaneurysm/haem within a DA centred on fovea if assoc with best VA of 6/12