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Problematic issues related to screening for diabetic retinopathy


Authors: P. Skalická;  B. Kalvodová
Authors‘ workplace: Oční klinika 1. lékařské fakulty UK a VFN Praha, přednostka doc. MUDr. Bohdana Kalvodová, CSc.
Published in: Vnitř Lék 2013; 59(3): 218-223
Category: Case Reports

Overview

The aim of this paper is to highlight the importance of screening for diabetic retinopathy and the education of diabetic patients. The key prerequisite of an effective screening is close collaboration between health care professionals. Successful screening detects DR at early stages and helps to prevent severe visual loss. Two cases of proliferative DR exhibiting the most serious complications (vitreous haemorrhage, traction retinal detachment and combined traction and rhegmatogenous retinal detachment, neovascular glaucoma) are reported. The first comorbid patient lost her vision despite the adequate treatment. The second patient was successfully managed with pars plana vitrectomy with final visual acuity better to the preoperative value.

Key words:
diabetic retinopathy – screening – indirect biomicroscopy


Sources

1. Kalvodová B. Screening diabetické retinopatie v ČR – guideline. Čes slov Oftal 2002; 58: 3–10.

2. Sosna T. et al. Diabetická retinopatie – rizikové faktory, prevence a terapie. Čes slov Oftal 2010; 66: 195–203.

3. Kalvodová B et al. Diagnostika a léčba diabetické retinopatie a jejích komplikací. DMEV Diabetologie 2002; 5: 214–218.

4. Standardy pro diagnostiku a léčbu diabetické retinopatie a jejích komplikací. DMEV Diabetologie 2004; 7: 22–25.

5. Ústav zdravotnických informací a statistiky ČR. Péče o nemocné s cukrovkou 2011: 8.

6. Zhang X et al. Prevalence of diabetic retinopathy in the United States, 2005–2008. JAMA 2010; 304: 649–656.

Labels
Diabetology Endocrinology Internal medicine

Article was published in

Internal Medicine

Issue 3

2013 Issue 3

Most read in this issue
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