Metabolic Factor of DR Polyol pathway hepatocyte NADPH
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![Metabolic Factor of DR Polyol pathway hepatocyte NADPH NADP Aldose reductase phosphatase ATP hexokinase Metabolic Factor of DR Polyol pathway hepatocyte NADPH NADP Aldose reductase phosphatase ATP hexokinase](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-3.jpg)
Metabolic Factor of DR Polyol pathway hepatocyte NADPH NADP Aldose reductase phosphatase ATP hexokinase NADH Polyol dehydrogenase Hyperosmetic gradient ADP -Swelling and cellular damage of lens (cataract) -Damage of retinal pericyte (DR) -Basement membrane thickening of vessels (DR)
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![Definition Macular edema Diabetic Retinopathy Non proliferative diabetic retinopathy (NPDR) Proliferative retinopathy (PDR) Mild Definition Macular edema Diabetic Retinopathy Non proliferative diabetic retinopathy (NPDR) Proliferative retinopathy (PDR) Mild](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-6.jpg)
Definition Macular edema Diabetic Retinopathy Non proliferative diabetic retinopathy (NPDR) Proliferative retinopathy (PDR) Mild NPDR Moderate NPDR Severe NPDR
![Definition Macular edema Diabetic Retinopathy Non proliferative diabetic retinopathy (NPDR) Proliferative retinopathy (PDR) Mild Definition Macular edema Diabetic Retinopathy Non proliferative diabetic retinopathy (NPDR) Proliferative retinopathy (PDR) Mild](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-7.jpg)
Definition Macular edema Diabetic Retinopathy Non proliferative diabetic retinopathy (NPDR) Proliferative retinopathy (PDR) Mild NPDR Moderate NPDR Severe NPDR Non vision threatening DR Good control BS FU every year Vision threatening DR LASER treatment
![Definition of non vision threatening of DR Mild Non-proliferative Diabetic Retinopathy ( mild NPDR) Definition of non vision threatening of DR Mild Non-proliferative Diabetic Retinopathy ( mild NPDR)](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-8.jpg)
Definition of non vision threatening of DR Mild Non-proliferative Diabetic Retinopathy ( mild NPDR) Microaneurysm or dot hemorrthage
![Definition of non vision threatening of DR Moderate Non-proliferative Diabetic Retinopathy (Mod NPDR) Hard Definition of non vision threatening of DR Moderate Non-proliferative Diabetic Retinopathy (Mod NPDR) Hard](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-9.jpg)
Definition of non vision threatening of DR Moderate Non-proliferative Diabetic Retinopathy (Mod NPDR) Hard exudate
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Definition of Vision Threatening Diabetic Retinopathy Severe Non-proliferative Diabetic Retinopathy ( severe NPDR) Hemorrhage>20 in each quadrant of 4 Q Rule of 4: 2: 1 Vessel dilatation 2 Q Intraretina Microvascular Abnormality (IRMA) 1 Q
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Definition of Vision Threatening Diabetic Retinopathy Proliferative Diabetic Retinopathy (PDR) Neovascularization At elsewhere (NVE) Vitrouse hemorrhage Neovascularization at disc (NVD) Traction retinal detachment
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Definition of Vision Threatening Diabetic Retinopathy Proliferative Diabetic Retinopathy (PDR) Neovascularization at disc (NVD) Neovascularization At elsewhere (NVE) Neovascularization at disc (NVD) Traction retinal detachment
![Definition of Vision Threatening Diabetic Retinopathy Macular Edema Macular edema or exudate within 500 Definition of Vision Threatening Diabetic Retinopathy Macular Edema Macular edema or exudate within 500](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-13.jpg)
Definition of Vision Threatening Diabetic Retinopathy Macular Edema Macular edema or exudate within 500 micron Optic disc=1500 micron
![DR screening n Direct ophthalmoscope DR screening n Direct ophthalmoscope](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-14.jpg)
DR screening n Direct ophthalmoscope
![DR screening n Indirect ophthalmoscope Dilate pupil before eye examination DR screening n Indirect ophthalmoscope Dilate pupil before eye examination](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-15.jpg)
DR screening n Indirect ophthalmoscope Dilate pupil before eye examination
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DR screening n Fundus camera
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Retina image
![Internet consultation Internet consultation](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-18.jpg)
Internet consultation
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Internet consultation
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![LASER Treatment • LASER 532 nm • LASER multi-wavelengths LASER Treatment • LASER 532 nm • LASER multi-wavelengths](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-21.jpg)
LASER Treatment • LASER 532 nm • LASER multi-wavelengths
![Anti VEGF Intra-vitreous injection Anti VEGF Intra-vitreous injection](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-22.jpg)
Anti VEGF Intra-vitreous injection
![LASER Treatment n Pattern LASER 532 nm LASER Treatment n Pattern LASER 532 nm](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-23.jpg)
LASER Treatment n Pattern LASER 532 nm
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Retina surgery Indication - Vitrouse Hemorrhage - Tractional Retinal detachment
![Retina surgery Retina surgery](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-25.jpg)
Retina surgery
![Vitrectomy and Endolaser Vitrectomy and Endolaser](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-26.jpg)
Vitrectomy and Endolaser
![Vitrectomy and SF 6/silicone oil injection Vitrectomy and SF 6/silicone oil injection](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-27.jpg)
Vitrectomy and SF 6/silicone oil injection
![Risk factor of DR Long Duration DM n Uncontrolled DM n Hypertension n Albuminuria Risk factor of DR Long Duration DM n Uncontrolled DM n Hypertension n Albuminuria](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-28.jpg)
Risk factor of DR Long Duration DM n Uncontrolled DM n Hypertension n Albuminuria or nephropathy n Pregnancy n
![Patients' education n n Tight control BS (diet, exercise, medication) Control HT Eye examination Patients' education n n Tight control BS (diet, exercise, medication) Control HT Eye examination](http://slidetodoc.com/presentation_image_h/1b357003ce30c028e16ab7894dba17e5/image-29.jpg)
Patients' education n n Tight control BS (diet, exercise, medication) Control HT Eye examination annually etc
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Thank you
- Slides: 30