Dr. RUHI GUNAY

, Dr. MEHUL SHAH, Dr. SHREYA SHAH, Dr. DEEKSHA THORAT

Abstract

INTRODUCTION: DIABETIC RETINOPATHY IS AN IMPORTANT CAUSE OF AVOIDABLE BLINDNESS IN INDIA. COST EFFECTIVE DIAGNOSIS AND INTERVENTION CAN REDUCE BURDEN OF BLINDNESS

METHOD: PATIENT WORKUP INCLUDES THOROUGH HISTORY ABOUT DIABETES, GLYCEMIC CONTROL,LIPID PROFILE .IN CASE OF OPHTHALMIC EXAMINATION ,ANTERIOR AND POSTERIOR SEGMENT EXAMINATION IS DONE. DM PATIENTS MAY HAVE NO DR, NPDR,PDR OR CSME .OPHTHALMIC INVESTIGATION AND PHOTODOCUMENTATION DONE. IN CASE OF NO DR FOLLOW UP, IN CASE OF NPDR FOLLOW UP/ LIGHT SCATTER DONE ,IN CASE OF PDR HIGH RISK CATEGORIES ARE IDENTIFIED AND ANTI VEGF+/-VITRECTOMY IS PERFORMED,IN CASE OF CSME OCT CLASSIFICATION IS USED AND ANTI VEGF/FOLLOW UP/VITRECTOMY WITH ILM PEELING PERFORMED. FOLLOW UPS ARE DONE WITH PROPER SCHEDULE IN FORMAT. TIGHT GLYCEMIC CONTROL WITH MONITORING OF COMPLICATION OF DM IS NEEDED.

CONCLUSION-EARLY DETECTION AND COMPREHENSIVE MANAGEMENT OF EVERY DIABETIC IS A MANDATE TO REDUCE BURDEN OF BLINDNESS DUE TO DR IN OUR COUNTRY.