retinal haemorrhages -
- Male, dob 1968, never smoked
- 1994 type 1 diabetes
- 2004 11.5
- 2008 7.9
- 2009 9.8
- 2010 8.0
2011 arrow points to macular oedema; there are still retinal haemorrhages, blot haemorrhages, indicate severe progression still
2010 a few haemorrhages but they are blot haemorrhages and indicate serious progression. Laser (PRP) was carried out. (Severe none-proliferative retinopathy.)
- The patient has still not controlled his diabetes to an ideal level (HbA1c 8.0%: HbA1c accepted target for such a patient using insulin in good health 7.5%), and has declined to attend the DAFNE program.
- The blot haemorrhages indicate progression suggesting new vessels will develop in the next ~2 years. He has tightened his control, as his HbA1c has dropped from 11.5 to 8.0%): the retinopathy is probably due to the poor control before 2008.
- The macular oedema will be difficult to treat: it is too central for laser. Anti-VEFGs may be needed, but on-going treatment with injections every 1-2 months would be needed.
home / help/abbreviations; / Case 42 circinate / Case 43 prolif / Case 44 early maculopathy / Case 45 prolif / Case 46 acute mac oedema 2mb / Case 47 enlarging laser burns / Case 48 nearly burnt out / Case 49 macular oedema / Case 50 severe retinopathy Case 51 circinate / Case 52 severe non-prolif / Case 53 maculopathy / Case 54 circinate / Case 55 HbA1c improves / Case 56 mac oed / Case 57 mac oed / Case 58 proliferative / Case 59 haemorrhages /