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Type 2 Diabetes
should I be panicking over my retinopathy result?
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<blockquote data-quote="jack412" data-source="post: 641708" data-attributes="member: 97664"><p>first of all you're fine and doesn't need anything done, just your annual check up</p><p>statin is one drug and the one I take...there are a couple of specific ones for eyes, but you may not need them or be prescribed, talk to your Dr</p><p></p><p><a href="http://www.opticianonline.net/diabetic-retinopathy-screening-5/" target="_blank">http://www.opticianonline.net/diabetic-retinopathy-screening-5/</a></p><ul> <li data-xf-list-type="ul"><span style="font-size: 9px">Level 0, no retinopathy (R0). This would require routine diabetes care and continued annual screening</span></li> </ul><p></p><ul> <li data-xf-list-type="ul">Level 1, background (R1). This would include the appearance of microaneurysms, intra-retinal haemorrhages and exudates (with no evidence of maculopathy as defined below). This would again require routine diabetes care and continued annual screening</li> </ul><p></p><ul> <li data-xf-list-type="ul"><span style="font-size: 9px">Level 2, pre-proliferative (R2). This would include the presence of venous beading, loops or duplication, intra-retinal microvascular abnormalities (IRMA), multiple haemorrhages, and cotton-wool spots. A minimum outcome would be for 70 per cent to be seen by an ophthalmologist in under 13 weeks, an achievable target being 95 per cent to be seen in this time</span></li> </ul> <ul> <li data-xf-list-type="ul"><span style="font-size: 9px">Level 3, proliferative (R3). This would include new vessels either on the disc or elsewhere, pre-retinal haemorrhage and pre-retinal fibrosis. Rubeosis iridis falls into this category. As a minimum, 70 per cent should be seen within one week, an achievable target should be 95 per cent</span></li> </ul><p></p><ul> <li data-xf-list-type="ul"><span style="font-size: 9px">Maculopathy (M1). Evidence of exudates, retinal thickening and microaneurysms or haemorrhages (if associated with a best acuity of 6/12 or less) within one disc diameter of the fovea. A minimum outcome would be for 70 per cent to be seen by an ophthalmologist in less than 13 weeks, an achievable target being 95 per cent to be seen in this time</span></li> </ul><p></p><ul> <li data-xf-list-type="ul"><span style="font-size: 9px">Urgent referral (same day) would</span> <span style="font-size: 9px">be recommended for any sudden loss of vision (for example where a pre-retinal haemorrhage is obscuring vision) or an active retinal detachment. Presumably, secondary glaucoma related to angle blockage with rubeosis might also warrant such management</span></li> </ul></blockquote><p></p>
[QUOTE="jack412, post: 641708, member: 97664"] first of all you're fine and doesn't need anything done, just your annual check up statin is one drug and the one I take...there are a couple of specific ones for eyes, but you may not need them or be prescribed, talk to your Dr [url]http://www.opticianonline.net/diabetic-retinopathy-screening-5/[/url] [LIST][*][SIZE=1]Level 0, no retinopathy (R0). This would require routine diabetes care and continued annual screening[/SIZE][/LIST] [LIST][*]Level 1, background (R1). This would include the appearance of microaneurysms, intra-retinal haemorrhages and exudates (with no evidence of maculopathy as defined below). This would again require routine diabetes care and continued annual screening[/LIST] [LIST][*][SIZE=1]Level 2, pre-proliferative (R2). This would include the presence of venous beading, loops or duplication, intra-retinal microvascular abnormalities (IRMA), multiple haemorrhages, and cotton-wool spots. A minimum outcome would be for 70 per cent to be seen by an ophthalmologist in under 13 weeks, an achievable target being 95 per cent to be seen in this time[/SIZE][/LIST] [LIST][*][SIZE=1]Level 3, proliferative (R3). This would include new vessels either on the disc or elsewhere, pre-retinal haemorrhage and pre-retinal fibrosis. Rubeosis iridis falls into this category. As a minimum, 70 per cent should be seen within one week, an achievable target should be 95 per cent[/SIZE][/LIST] [LIST][*][SIZE=1]Maculopathy (M1). Evidence of exudates, retinal thickening and microaneurysms or haemorrhages (if associated with a best acuity of 6/12 or less) within one disc diameter of the fovea. A minimum outcome would be for 70 per cent to be seen by an ophthalmologist in less than 13 weeks, an achievable target being 95 per cent to be seen in this time[/SIZE][/LIST] [LIST][*][SIZE=1]Urgent referral (same day) would[/SIZE] [SIZE=1]be recommended for any sudden loss of vision (for example where a pre-retinal haemorrhage is obscuring vision) or an active retinal detachment. Presumably, secondary glaucoma related to angle blockage with rubeosis might also warrant such management[/SIZE][/LIST] [/QUOTE]
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should I be panicking over my retinopathy result?
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