Summary OSCE Clinical Presentations notes

HR




Diabetic Retinopathy

Aetiology

Referral:
4 stages:
1)​ Background diabetic retinopathy R1
2)​ Pre-Proliferative diabetic retinopathy R2/M0/M1
3)​ Proliferative diabetic retinopathy R3/M0/M1/P0/P1
4)​ Severe proliferative diabetic retinopathy

1)Background diabetic retinopathy
▪︎ microaneurysm
▪︎ blot/dot/flame haemorrhage
▪︎ Few exudates/CWS
▪︎ Venous loops
▪︎ routine referral to GP:
-systemic work-up
-diabetic meds- insulin
-entry onto diabetic screening




2)Pre-Proliferative diabetic retinopathy
▪ Blot/dot/flame haemorrhage
▪︎ more CWS

, ▪︎ more exudates
▪︎ IRMA
▪︎ venous beading
▪︎ macular oedema
▪ urgent to the GP
▪︎ urgent to HES if macular oedema-
-systemic work up/ OCT/FA
-anti-VEGF injections if macula oedema present
-Focal
-steroid injections




3) Proliferative diabetic retinopathy
▪︎ Blot/dot/flame haemorrhage
▪︎ more CWS
▪︎ more exudates
▪︎ venous beading/looping
▪︎ macular oedema
▪︎ neovascularization
▪︎ emergency referral to the GP
▪︎ urgent referral to HES -
-systemic work up/ OCT/FA
-anti-VEGF injections if macula oedema present
-focal/grid laser
-steroid injections