Diabetic Retinopathy

Clinical Evaluation, Prognosis and Treatment with Photocoagulation

Nonfiction, Health & Well Being, Medical, Specialties, Ophthalmology, Internal Medicine, Endocrinology & Metabolism
Cover of the book Diabetic Retinopathy by S. Riaskoff, Springer Netherlands
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Author: S. Riaskoff ISBN: 9789401015813
Publisher: Springer Netherlands Publication: December 6, 2012
Imprint: Springer Language: English
Author: S. Riaskoff
ISBN: 9789401015813
Publisher: Springer Netherlands
Publication: December 6, 2012
Imprint: Springer
Language: English

The evaluation of diabetic retinopathy is often difficult, because the clinical picture is complex due to the mUltiplicity of symptoms. Omission of treatment by photocoagulation at the right moment may have grave consequences. Forthe evaluation of diabetic retinopathy we have to estimate first the developmental degree of each symptom and secondly we have to estimate what the natural history of each particular retinopathy will be. There exists a number of classification systems, into the frame of which the clinical picture of diabetic retinopathy can be placed. Without entering into the details of these systems we want to mention that our classification has been developed from the method of Oakley and the classification model conceived at the Airlie House meeting in 1968. The essence of this classification is that standard pictures are used for the estimation of the developmental degree of the different symptoms in diabetic retinopathy. In our classification we use for each symptom two standard photographs instead of one, as originally proposed at the Airlie House meeting. (1,2). Standard photograph number one stands for the moderate (grade 1 ) manifestation and standard photograph numbertwo stands forthe marked (grade 2) manifestation of the symptom. Ifthe manifestation ofthe sympton is less marked than in standard photograph one, it is referred to as < 1 ; if it is more marked than in standard photograph two, it is referred to as > 2.

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The evaluation of diabetic retinopathy is often difficult, because the clinical picture is complex due to the mUltiplicity of symptoms. Omission of treatment by photocoagulation at the right moment may have grave consequences. Forthe evaluation of diabetic retinopathy we have to estimate first the developmental degree of each symptom and secondly we have to estimate what the natural history of each particular retinopathy will be. There exists a number of classification systems, into the frame of which the clinical picture of diabetic retinopathy can be placed. Without entering into the details of these systems we want to mention that our classification has been developed from the method of Oakley and the classification model conceived at the Airlie House meeting in 1968. The essence of this classification is that standard pictures are used for the estimation of the developmental degree of the different symptoms in diabetic retinopathy. In our classification we use for each symptom two standard photographs instead of one, as originally proposed at the Airlie House meeting. (1,2). Standard photograph number one stands for the moderate (grade 1 ) manifestation and standard photograph numbertwo stands forthe marked (grade 2) manifestation of the symptom. Ifthe manifestation ofthe sympton is less marked than in standard photograph one, it is referred to as < 1 ; if it is more marked than in standard photograph two, it is referred to as > 2.

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