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retinopathy details

Case 52 poor control and severe non-proliferative retinopathy

David Kinshuck

 

Some issues

This patient still has not achieved good diabetic control. He has declined a place on the DAFNE program, offered several times over the last year. Type 1 diabetes is a difficult condition to control, and demands a great deal of time and effort. But with the help of professionals, family, some intelligence and a great deal of patient effort (testing glucose levels and adjusting insulin doses etc) retinopathy be prevented /halted / delayed and good health maintained.
To make matters worse, it takes several years of good control before the retinopathy does come under control.

2008

ischaemic haemorrhages indicate increasing retinopathy and generally poor diabetic control

Ischaemic haemorrhages indicate increasing retinopathy and generally poor diabetic control (yellow arrow).

 

exudates are developing

Exudates are developing and grid laser was needed.

 

2009-10

scan of chages over the last 12 months, showing an increase in macular oedema (blue arrow)

After years of gradual change the retinopathy starts to progress with increasing macular oedema (blue pointer). Photo/scan left 2010, photo/scan right 2009. On the graph: green line 2010; blue line 2009.