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Diabetic pathology and optometry

Clinical Practice
In the first of a new series, optometrist Kirit Patel says that community optometrists are better able to run the UK screening of diabetic eye disease and describes the first of several case studies to support this argument

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Diabetic patients are complex creatures presenting with multiple eye abnormalities which include refractive changes, cataracts, glaucoma, vascular occlusion, retinal and anterior segment naevi, eyelid and corneal-conjunctival abnormalities, nerve palsies, diplopia, visual field anomalies and other visual pathway abnormalities.
Also, various pathologies lie in the periphery which a fundus camera cannot detect. So a simple dilation and retinal photography will not suffice if one was required to provide their diabetic patients with a thorough examination. Who better than your community-based optometrist to carry out all the investigations necessary?

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