By Peter Scanlon, Stephen Aldington, Charles Wilkinson, David Matthews
This useful medical guide covers the analysis, remedy - either scientific and surgical - and long term administration of eye difficulties in individuals with diabetes. geared toward the MDT concerned about the care of sufferers with diabetes, it emphasizes the significance of normal screening and early prognosis and provides evidence-based suggestions.
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Extra resources for A Practical Manual of Diabetic Retinopathy Management
A) (c) (b) (d) Fig. qxd 12/29/08 14:34 Page 37 Lesions and classifications of diabetic retinopathy 37 (e) Fig. 10 Venous reduplication. (f) Fig. 11 Venous reduplication: red free. (g) Fig. 9 (Cont’d) (e) year 4 colour photograph superior retina; (f) year 4 enlarged colour photograph superior retina; (g) fluorescein leak from the venous loop. Venous beading was found to be associated with retinal ischaemia. It is used for assessment of severity of diabetic retinopathy and response to laser treatment as venous dilation and beading do respond to scatter laser treatment.
The prevalence of diabetic retinopathy scores greater than 40 was higher for Hispanics (36%) and African Americans (29%) than for nonHispanic whites (22%). 05 in each case). These differences could not be accounted for by an imbalance in traditional risk factors such as age, duration of diagnosed diabetes, HbA1c, and blood pressure. Simmons82 compared ethnic differences in the prevalence of diabetic retinopathy in European, Maori and Pacific peoples with diabetes in Auckland, New Zealand. They demonstrated that moderate or more severe retinopathy is more common in Polynesians than in Europeans and this difference could not be explained by differences in diabetes duration, insulin therapy, the extent of renal disease, blood pressure or glycaemic control.
UK Prospective Diabetes Study (UKPDS) Group. Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). Lancet 1998; 352(9131): 854–65. UK Prospective Diabetes Study (UKPDS) Group. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. BMJ 1998; 317(7160): 703–13. Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HA. 10-Year follow-up of intensive glucose control in Type 2 diabetes.