
By Peter Scanlon, Stephen Aldington, Charles Wilkinson, David Matthews
This functional medical guide covers the analysis, remedy - either clinical and surgical - and long term administration of eye difficulties in individuals with diabetes. geared toward the MDT inquisitive about the care of sufferers with diabetes, it emphasizes the significance of standard screening and early prognosis and provides evidence-based advice.
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Extra resources for A Practical Manual of Diabetic Retinopathy Management
Example text
Process. Some classic type 1 diabetes occurs without such antibodies being detectable, and some subjects will have antibodies for many years without developing the clinical condition. There is continuing debate about the triggering effects of other proteins or of infections in sensitizing the autoimmune system. Some associations – such as those with milk proteins and cytomegalovirus – are recurrent in the literature, but again the exposure seems neither necessary nor sufficient. There are genetic propensities, but even identical twins have a discordance rate of 70%.
A) Right macular colour photograph at presentation. (b) Left macular colour photograph at presentation. (c) Right macular red-free photograph 1 year after presentation. (d) Left macular red-free photograph 1 year after presentation. process. Some classic type 1 diabetes occurs without such antibodies being detectable, and some subjects will have antibodies for many years without developing the clinical condition. There is continuing debate about the triggering effects of other proteins or of infections in sensitizing the autoimmune system.
Qxd 12/29/08 14:34 Page 38 38 Chapter 3 (a) Fig. 13 Venous narrowing and perivenous exudate. (b) Fig. 12 (a) Venous dilation, venous beading and IRMA in an area of ischaemic retina. (b) Venous beading adjacent to an area of ischaemic retina in this fluorescein angiogram. Other venous changes that occur in diabetic retinopathy are: 1 venous dilation – this is common in diabetic retinopathy and an obvious return to normal calibre is often apparent following panretinal photocoagulation for retinal neovascularization (see Fig.