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Endocrinology

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Question:

What are the ophthalmic complications of DM?

Author: H K



Answer:

Blindness, progressive retinopathy and macular edema, two stages proliferative and non-proliferative Non-proliferative (increased capillary permeability, dilation, microaneurysms, AV shunts, hemorrhages, cotton-wool spots, hard exudate) Proliferative (new vessels, scar, vitreal hemorrhage, Retinal detachment) Risk factor is HTN, duration of DM, genetics. Almost all pt with DM <20 years develope non-proliferative.


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H K
H K