Diabetes - Proliferative retinopathy management

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See: Diabetes – Proliferative retinopathy assessment

See also

Diabetes – Introduction to retinopathy, Diabetes – nonproliferative retinopathy, Retinal detachment, Glaucoma – Classification.

Management

Imaging investigations

Intravenous fluorescein angiography demonstrates leakage from new vessels, capillary nonperfusion and macular ischaemia.

Laser surgery

Pan-retinal laser photocoagulation reduces the incidence of severe visual loss in proliferative diabetic retinopathy by up to 95 per cent when certain ‘high risk characteristics’ are present:

? NVD larger than one-third of the optic disc area