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Diabetic Retinopathy – Classification of Diabetic Retinopathy : Proliferative Retinopathy

Proliferative retinopathy can appear after 5 years of diabetes but is usually seen after a longer duration of disease. Patients remain at risk of new vessel formation for their entire lives.

It is vital to appreciate that visual acuity may be unaffected and, therefore, the patient can be unaware of this sight-threatening complication. The likelihood of vitreous haemorrhage increases with the number of new vessels and their proximity to the optic disc (disc new vessels are more likely to bleed).

These vessels can be very obvious…

0010107

… or quite subtle, as in the image below, of the other eye in the same patient.

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Diabetic Retinopathy Menu

Introduction
  • Aims and Audience
  • How Images Work
Normal Features
  • General
  • Racial Pigmentation
  • Localised Pigmentation
  • Drusen
  • Myelination
Features of Diabetes
  • Microaneurysms
  • Intraretinal Haemorrhages
  • Hard Exudates
  • Cotton-wool Spots
  • Venous Abnormalities
  • IRMAs
  • Neovascularisation
  • Retinal Detachment
  • Vitreous Haemorrhage
  • Sub-hyaloid Haemorrhage
Classification
  • Background
  • Pre-proliferative
  • Proliferative
Screening
  • Screening
Treatment
  • Treatment

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