Diabetes mellitus over a period of 8 to 10 years leads to: Microaneurysm Hard exudates Retinal edema If microaneurysm involves macula do laser and watch for new vessels formation. Hard exudates and retinal edema that cause visual impairment due to retinal edema and on fundus fluorescein angiography.
We have the following retinal patterns: Focal peak Diffuse Ischemia Mixed in focal CIC- circinate rings of hard exudates in diffuse Post-polar capillary dilatation both focal and diffuse are subjected to laser and ischemic One has post polar capillary closure where we watch for new vessel formation and hemorrhage In mixed type do laser if there are specific changes Share your views.
