Classification of Diabetic Retinopathy

 

Diabetic Retinopathy is a serious eye condition that occurs in people with diabetes. It is caused by damage to the blood vessels in the retina, which can lead to vision loss and blindness. Diabetic Retinopathy is classified into different stages based on the severity of the condition.

Classification of Diabetic Retinopathy

  • Mild Nonproliferative Retinopathy (Mild NPDR): In this stage, small areas of balloon-like swelling called microaneurysms form in the retina's tiny blood vessels. These microaneurysms may leak blood or fluid into the retina, causing small dot-like hemorrhages.
  • Moderate Nonproliferative Retinopathy (Moderate NPDR): In this stage, more microaneurysms develop and the retina's blood vessels start to close off (ischemia), which causes blood to back up in the retina's larger vessels. This can lead to the formation of dot-like hemorrhages, which are larger than those seen in mild NPDR.
  • Severe Nonproliferative Retinopathy (Severe NPDR): In this stage, more blood vessels become blocked, and the retina's blood vessels become increasingly damaged. This leads to the formation of larger dot-like hemorrhages, as well as the appearance of blot-like hemorrhages.
  • Proliferative Retinopathy (PDR): In this stage, new blood vessels form on the retina's surface or in the vitreous (the gel-like fluid that fills the eye). These new blood vessels can cause bleeding in the eye, which can lead to severe vision loss or blindness.

Symptoms of Diabetic Retinopathy

Symptoms of diabetic retinopathy may not be noticeable in the early stages and may only become apparent as the condition progresses. Common symptoms include:

  • Blurred vision
  • Flashing lights
  • Floaters
  • Dark or empty areas in the vision
  • Vision loss

Causes of Diabetic Retinopathy

Diabetic Retinopathy is caused by high blood sugar levels, which damage the blood vessels in the retina. The longer a person has diabetes, the higher the risk of developing diabetic retinopathy. Other risk factors include:

  • High blood pressure
  • High cholesterol levels
  • Smoking
  • Obesity
  • Pregnancy
  • A family history of diabetes

Diagnosis of Diabetic Retinopathy

Diabetic retinopathy is typically diagnosed through a comprehensive eye examination, including:

  • Visual acuity testing: to measure the patient's visual sharpness
  • Slit lamp examination: to examine the front of the eye
  • Fundus examination: to examine the retina and blood vessels
  • Fluorescein angiography: to visualize the blood vessels and detect

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