Grand Rounds: Interesting and Exemplary Cases From Guanajuato and Djibouti

Size: px
Start display at page:

Download "Grand Rounds: Interesting and Exemplary Cases From Guanajuato and Djibouti"

Transcription

1 Learning Community: January 25, 2015 Grand Rounds: Interesting and Exemplary Cases From Guanajuato and Djibouti JORGE CUADROS, OD, PHD

2 EyePACS In Guanajuato Program started in 2007 Cameras go from clinic to clinic on a rotating basis. About 1000 patients screened per year. View over the historic town of Guanajuato, Province of Guanajuato, Mexico, UNESCO World Heritage Site.

3 Case 1: yr. old female from Victoria, Guanajuato, a small farming community Photographed by Dr. Emma Puente Pinon on Sept. 6, yrs. DM II, uses insulin, metformin, and glibenclamide. HbA1c = 13.0 No prior eye exam Images read by Dr. Aline Manriquez Beginning proliferative retinopathy and macular edema

4 Case 1: yr. old female from Victoria, Guanajuato, a small farming community Photographed by Dr. Emma Puente Pinon on Sept. 6, yrs. DM II, uses insulin, metformin, and glibenclamide. HbA1c = 13.0 No prior eye exam Images read by Dr. Aline Manriquez Beginning proliferative retinopathy and macular edema

5 89 km (53 miles) Case 1: 2014 Patient was treated through the Guanajuato Vision For All Public-Private Partnership in San Miguel de Allende early 2014

6 Case 1: 2014 Patient was treated through the Guanajuato Vision For All Public- Private Partnership in San Miguel de Allende early 2014 Focal and panretinal scars are visible Neovascular net involution Macular edema has receded An example of when things go right!

7 Case 1: 2014 Patient was treated through the Guanajuato Vision For All Public- Private Partnership in San Miguel de Allende early 2014 Focal and panretinal scars are visible Neovascular net involution Macular edema has receded An example of when things go right!

8 Case 2: March, year old male from San Luis de la Paz, Guanajuato Photographed by Dr. Jezabel del Refugio Benitez Rodriguez DM II X 7 yrs Glibenclamide only Microaneurysms Cotton wool spots One small hard exudate Advised to return for re-examination in one year

9 Case 2: March, year old male from San Luis de la Paz, Guanajuato Photographed by Dr. Jezabel del Refugio Benitez Rodriguez DM II X 7 yrs Glibenclamide only Cotton wool spots Microaneurysms One small hard exudate Advised to return for re-examination in one year

10 Case 2: March, year old male from San Luis de la Paz, Guanajuato Photographed by Dr. Jorge Aburto Ramos DM II X 12 yrs Glibenclamide and metformin Intraretinal hemorrhage Cotton wool spots Edema marked by hard exudates Dr. Rajeev Ramchandran advised control of glycemia, blood pressure, and lipids. Patient was referred to retina service

11 Case 2: March, year old male from San Luis de la Paz, Guanajuato Photographed by Dr. Jorge Aburto Ramos DM II X 12 yrs Glibenclamide and metformin Intraretinal hemorrhage Cotton wool spots Edema marked by hard exudates Dr. Rajeev Ramchandran advised control of glycemia, blood pressure, and lipids. Patient was referred to retina service

12 Case 2: September, year old male from San Luis de la Paz, Guanajuato Photographed by Dr. Victor Manuel Torres Flores DM II X 14 yrs S/P focal laser : Focal laser scars Edema and hard exudates have receded Dense cotton wool spots and superficial hemorrhages, suggesting uncontrolled hypertension Blurred images from cataract

13 Case 2: September, year old male from San Luis de la Paz, Guanajuato Photographed by Dr. Victor Manuel Torres Flores DM II X 14 yrs New blood vessels formed on optic nerve, consistent with widespread retinal ischemia Although macular edema was successfully treated, continued surveillance is important!

14 Case 2: September, year old male from San Luis de la Paz, Guanajuato Photographed by Dr. Victor Manuel Torres Flores DM II X 14 yrs New blood vessels formed on optic nerve, consistent with widespread retinal ischemia Although macular edema was successfully treated, continued surveillance is important!

15 EyePACS in the Republic of Djibouti Population: 810,000 Estimated 10% with diabetes No formal epidemiological data on prevalence of diabetic retinopathy

16 Case 3: January 23, yr. old Djiboutian male DM II since 1989 Treated successfully for tuberculosis in ophthalmic findings: Few microaneurysms and hard exudates DX: diabetic retinopathy, no treatment recommended Retinal detachment in right eye in fasting glucose = 352 Year HbA1c

17 Case 3: January 23, 2015 Right eye: Cannot detect retina due to opacification of ocular media, likely not a cataract. Left eye: Extensive neovascularization Fibrous proliferation Preretinal hemorrhage at optic nerve and below macula Past the stage where laser will help Vitrectomy may preserve some vision

18 Case 3: January 23, 2015 Right eye: Cannot detect retina due to opacification of ocular media, likely not a cataract. Left eye: Extensive neovascularization Fibrous proliferation Preretinal hemorrhage at optic nerve and below macula Past the stage where laser will help Vitrectomy may preserve some vision

19 59 yr. old Djiboutian male

20 Case 4: January 15, yr. old Djiboutian female, mother of 3 children Not diabetic Chronic bilateral panuveitis (painful internal ocular inflammation) first episode in 1996 Diagnosed as idiopathic uveitis, treated with corticosteroid eye drops Presented to ophthalmology clinic in 2008 with recurring uveitis in right eye Persistent moderate anterior chamber cells Fixed pupil Posterior synechiae (iris was attached to the lens) Right eye vision: 20/25 Left eye had cataract extraction, but vision was very poor. Example of posterior synechiae

21 Case 4: January 15, 2015 (continued) 30 yr. old Djiboutian female, mother of 3 children Not diabetic Patient returned to ophthalmology clinic om 2014 with no improvement in left eye; vision decreased to 20/50 in the right eye: Right cataract and opacities on cornea noted. Ultrasound showed no obvious retinal abnormalities. Patient presented to Dr. Ayoub in primary care clinic with: Rapidly decreased vision in right eye Chronic headache Earache Alopecia (hair loss) Arthritis

22 Case 4: January 15, 2015 (continued) 30 yr. old Djiboutian female, mother of 3 children Not diabetic Consider Behcet s disease given North African setting, expecially if there are any signs of apthous ulcers in the mucosa Vogt-Kayanagi-Harada syndrome was considered due to the symptoms and appearance Both are autoimmune diseases that have no known cure Treat agressively with corticosteroids Needs specialist to evaluate treatment for cataract and retinal status of right eye. Desires travel to the US to seek specialist intervention.

23 EyePACS Djibouti Results 90 Cases screened Comparable to results from Guanajuato and the US for diabetic retinopathy Greater incidence of glaucoma Goal is 120 for the first month Not bad for a new program!

24 Thank You!

EyePACS Grading System (Part 3): Detecting Proliferative (Neovascular) Diabetic Retinopathy. George Bresnick MD MPA Jorge Cuadros OD PhD

EyePACS Grading System (Part 3): Detecting Proliferative (Neovascular) Diabetic Retinopathy. George Bresnick MD MPA Jorge Cuadros OD PhD EyePACS Grading System (Part 3): Detecting Proliferative (Neovascular) Diabetic Retinopathy George Bresnick MD MPA Jorge Cuadros OD PhD Anatomy of the eye: 3 Normal Retina Retinal Arcades Macula Optic

More information

The Human Eye. Cornea Iris. Pupil. Lens. Retina

The Human Eye. Cornea Iris. Pupil. Lens. Retina The Retina Thin layer of light-sensitive tissue at the back of the eye (the film of the camera). Light rays are focused on the retina then transmitted to the brain. The macula is the very small area in

More information

Diabetic Retinopathy

Diabetic Retinopathy Diabetic Retinopathy Introduction People with diabetes are more likely to have eye problems that can lead to blindness. Diabetic retinopathy is a disease of the eye s retina that is caused by diabetes.

More information

X-Plain Diabetic Retinopathy Reference Summary

X-Plain Diabetic Retinopathy Reference Summary X-Plain Diabetic Retinopathy Reference Summary Introduction Patients with diabetes are more likely to have eye problems that can lead to blindness. Diabetic retinopathy is a disease of the eye s retina

More information

Marcus Gonzales, OD, FAAO Cedar Springs Eye Clinic

Marcus Gonzales, OD, FAAO Cedar Springs Eye Clinic Marcus Gonzales, OD, FAAO Cedar Springs Eye Clinic 25.6 million adults 11.3% of the adult population 10.9 million adults 65 years and older 26.9% of this age population 79 million people are Pre-diabetic!!

More information

Diabetic Retinopathy A Presentation for the Public

Diabetic Retinopathy A Presentation for the Public Diabetic Retinopathy A Presentation for the Public Ray M. Balyeat, MD The Eye Institute Tulsa, Oklahoma The Healthy Eye Light rays enter the eye through the cornea, pupil and lens. These light rays are

More information

measure of your overall performance. An isolated glucose test is helpful to let you know what your sugar level is at one moment, but it doesn t tell you whether or not your diabetes is under adequate control

More information

EyePACS Grading System (Part 2): Detecting Presence and Severity of Background (Non-Proliferative) Diabetic Retinopathy Lesion

EyePACS Grading System (Part 2): Detecting Presence and Severity of Background (Non-Proliferative) Diabetic Retinopathy Lesion EyePACS Grading System (Part 2): Detecting Presence and Severity of Background (Non-Proliferative) Diabetic Retinopathy Lesion George Bresnick MD MPA Jorge Cuadros OD PhD Anatomy of the eye: 3 Normal Retina

More information

Diabetic Management beyond traditional risk factors and LDL-C control: Can we improve macro and microvascular risks?

Diabetic Management beyond traditional risk factors and LDL-C control: Can we improve macro and microvascular risks? Retinopathy Diabetes has a negative effect on eyes in many ways, increasing the risk of cataracts for example, but the most common and serious ocular complication of diabetes is retinopathy. Diabetic retinopathy

More information

A Patient s Guide to Diabetic Retinopathy

A Patient s Guide to Diabetic Retinopathy Diabetic Retinopathy A Patient s Guide to Diabetic Retinopathy 840 Walnut Street, Philadelphia PA 19107 www.willseye.org Diabetic Retinopathy 1. Definition Diabetic retinopathy is a complication of diabetes

More information

Diabetic Retinopathy

Diabetic Retinopathy Diabetic Retinopathy Diabetes mellitus is one of the leading causes of irreversible blindness worldwide. In the United States, it is the most common cause of blindness in people younger than 65 years.

More information

Diabetic Retinopathy. Barry Emara MD FRCS(C) Giovanni Caboto Club October 3, 2012

Diabetic Retinopathy. Barry Emara MD FRCS(C) Giovanni Caboto Club October 3, 2012 Diabetic Retinopathy Barry Emara MD FRCS(C) Giovanni Caboto Club October 3, 2012 Outline Statistics Anatomy Categories Assessment Management Risk factors What do you need to do? Objectives Summarize the

More information

PART 1: GENERAL RETINAL ANATOMY

PART 1: GENERAL RETINAL ANATOMY PART 1: GENERAL RETINAL ANATOMY General Anatomy At Ora Serrata At Optic Nerve Head Fundoscopic View Of Normal Retina What Is So Special About Diabetic Retinopathy? The WHO definition of blindness is

More information

FRANZCO, MD, MBBS. Royal Darwin Hospital

FRANZCO, MD, MBBS. Royal Darwin Hospital Diabetes and Eye By Dr. Nishantha Wijesinghe FRANZCO, MD, MBBS Consultant Ophthalmologist Royal Darwin Hospital 98% of Diabetics do not need to suffer from severe visual loss Yet Diabetic eye disease is

More information

Outline. Preventing & Treating Diabetes Related Blindness. Eye Care Center Doctors. Justin Kanoff, MD. Eye Care Center of Northern Colorado

Outline. Preventing & Treating Diabetes Related Blindness. Eye Care Center Doctors. Justin Kanoff, MD. Eye Care Center of Northern Colorado Outline Preventing & Treating Diabetes Related Blindness Justin Kanoff, MD Eye Care Center of Northern Colorado 303 974 4302 Introduction to Eye Care Center of Northern Colorado How the eye works Eye problems

More information

Clinically Significant Macular Edema (CSME)

Clinically Significant Macular Edema (CSME) Clinically Significant Macular Edema (CSME) 1 Clinically Significant Macular Edema (CSME) Sadrina T. Shaw OMT I Student July 26, 2014 Advisor: Dr. Uwaydat Clinically Significant Macular Edema (CSME) 2

More information

Diagnosis and treatment of diabetic retinopathy. Blake Cooper MD Ophthalmologist Vitreoretinal Surgeon Retina Associates Kansas City

Diagnosis and treatment of diabetic retinopathy. Blake Cooper MD Ophthalmologist Vitreoretinal Surgeon Retina Associates Kansas City Diagnosis and treatment of diabetic retinopathy Blake Cooper MD Ophthalmologist Vitreoretinal Surgeon Retina Associates Kansas City Disclosures Consulted for Novo Nordisk 2017,2018. Will be discussing

More information

NEPTUNE RED BANK BRICK

NEPTUNE RED BANK BRICK NEPTUNE RED BANK BRICK Diabetes & The Eye Diabetics are more likely to develop Cataracts at a younger age. Diabetics are twice as likely to develop Glaucoma when compared to non-diabetics. The primary

More information

Diabetic and the Eye: An Introduction

Diabetic and the Eye: An Introduction Diabetic and the Eye: An Introduction Lawrence Iu FRCSEd (Ophth), FCOphthHK, FHKAM (Ophthalmology) Department of Ophthalmology, Grantham Hospital & Queen Mary Hospital Background Diabetes mellitus (DM)

More information

The Natural History of Diabetic Retinopathy and How Primary Care Makes A Difference

The Natural History of Diabetic Retinopathy and How Primary Care Makes A Difference The Natural History of Diabetic Retinopathy and How Primary Care Makes A Difference We will discuss - How exactly does blood sugar control affect retinopathy? - What are other factors that we measure in

More information

Patient & Family Guide. Diabetes and the Eye. Aussi disponible en français : Le diabète et les yeux (FF )

Patient & Family Guide. Diabetes and the Eye. Aussi disponible en français : Le diabète et les yeux (FF ) Patient & Family Guide Diabetes and the Eye 2017 Aussi disponible en français : Le diabète et les yeux (FF85-1784) www.nshealth.ca Diabetes and the Eye What is diabetes? Diabetes is a disease in which

More information

Treatment of Diabetic Macular Edema without Intravitreal injections

Treatment of Diabetic Macular Edema without Intravitreal injections Treatment of Diabetic Macular Edema without Intravitreal injections 1. Treatment of macular edema with laser only This 60 year old female presented on 02-01-2007 for retinal evaluation. She had proliferative

More information

OCCLUSIVE VASCULAR DISORDERS OF THE RETINA

OCCLUSIVE VASCULAR DISORDERS OF THE RETINA OCCLUSIVE VASCULAR DISORDERS OF THE RETINA Learning outcomes By the end of this lecture the students would be able to Classify occlusive vascular disorders (OVD) of the retina. Correlate the clinical features

More information

Facts About Diabetic Eye Disease

Facts About Diabetic Eye Disease Facts About Diabetic Eye Disease Points to Remember 1. Diabetic eye disease comprises a group of eye conditions that affect people with diabetes. These conditions include diabetic retinopathy, diabetic

More information

Diabetes & Your Eyes

Diabetes & Your Eyes Diabetes & Your Eyes Diabetes is a disease that occurs when the pancreas does not secrete enough insulin or the body is unable to process it properly. Insulin is the hormone that regulates the level of

More information

DIABETIC RETINOPATHY

DIABETIC RETINOPATHY DIABETIC RETINOPATHY C. L. B. Canny, MD FRCSC Diabetic retinopathy is the most serious eye manifestation of diabetes and is responsible for most of the blindness caused by diabetes. Diabetic retinopathy

More information

Understanding Diabetic Retinopathy

Understanding Diabetic Retinopathy Understanding Diabetic Retinopathy What Is Diabetic Retinopathy? Diabetes damages blood vessels in the rear of the eye. This condition is called diabetic retinopathy. It can lead to vision loss or blindness.

More information

Ophthalmology. Juliette Stenz, MD

Ophthalmology. Juliette Stenz, MD Ophthalmology Juliette Stenz, MD Required Slide Disclosures NO SIGNIFICANT FINANCIAL, GENERAL, OR OBLIGATION INTERESTS TO REPORT Required Slide At the end of this session, students will be able to: 1.

More information

UNDERSTAND MORE ABOUT UVEITIS UVEITIS

UNDERSTAND MORE ABOUT UVEITIS UVEITIS UNDERSTAND MORE ABOUT UVEITIS UVEITIS Uveitis What is uveitis? Uveitis is inflammation of the uvea, the middle layer of your eye. The eye is shaped much like a tennis ball, with three different layers

More information

Brampton Hurontario Street Brampton, ON L6Y 0P6

Brampton Hurontario Street Brampton, ON L6Y 0P6 Diabetic Retinopathy What is Diabetic Retinopathy Diabetic retinopathy is one of the leading causes of blindness world-wide. Diabetes damages blood vessels in many organs of the body including the eyes.

More information

Diabetic Eye Disease

Diabetic Eye Disease Manchester Royal Eye Hospital Medical Retinal Services Information for Patients Diabetic Eye Disease This leaflet sets out to answer some of your questions about diabetic eye disease. You may wish to discuss

More information

PROGRESSION OF DIABETIC RETINOPATHY FOLLOWING CATARACT SURGERY

PROGRESSION OF DIABETIC RETINOPATHY FOLLOWING CATARACT SURGERY PROGRESSION OF DIABETIC RETINOPATHY FOLLOWING CATARACT SURGERY Yayan Heryanto, Iwan Sovani, Arief Kartasasmita, Erwin Iskandar, Djonggi Panggabean. Dept. of Ophthalmology Medical Faculty Unpad, Cicendo

More information

Diabetic retinopathy damage to the blood vessels in the retina. Cataract clouding of the eye s lens. Cataracts develop at an earlier age in people

Diabetic retinopathy damage to the blood vessels in the retina. Cataract clouding of the eye s lens. Cataracts develop at an earlier age in people Diabetic Retinopathy What is diabetic eye disease? Diabetic eye disease refers to a group of eye problems that people with diabetes may face as a complication of diabetes. All can cause severe vision loss

More information

Ocular Pathology. I. Congenital and/or developmental. A. Trisomy 21. Hypertelorism (widely spaced eyes) Keratoconus (cone shaped cornea)

Ocular Pathology. I. Congenital and/or developmental. A. Trisomy 21. Hypertelorism (widely spaced eyes) Keratoconus (cone shaped cornea) I. Congenital and/or developmental Robbins Pathologic Basis of Disease, 6 th Ed. A. Trisomy 21 Hypertelorism (widely spaced eyes) Keratoconus (cone shaped cornea) Focal hypoplasia of iris Cataracts frequently

More information

Speaker Disclosure Statement. " Dr. Tim Maillet and Dr. Vladimir Kozousek have no conflicts of interest to disclose.

Speaker Disclosure Statement.  Dr. Tim Maillet and Dr. Vladimir Kozousek have no conflicts of interest to disclose. Speaker Disclosure Statement Dr. Tim Maillet and Dr. Vladimir Kozousek have no conflicts of interest to disclose. Diabetes Morbidity Diabetes doubles the risk of stroke. Diabetes quadruples the risk of

More information

Diabetic Retinopathy Screening Program in the Cree Region of James Bay of Quebec

Diabetic Retinopathy Screening Program in the Cree Region of James Bay of Quebec RUIS McGILL VIRTUAL HEALTH AND SOCIAL SERVICES CENTRE (CvSSS) SIMPLIFYING TELEHEALTH! Diabetic Retinopathy Screening Program in the Cree Region of James Bay of Quebec Nurse and Imager Training Prepared

More information

MANAGING DIABETIC RETINOPATHY. <Your Hospital Name> <Your Logo>

MANAGING DIABETIC RETINOPATHY. <Your Hospital Name> <Your Logo> MANAGING DIABETIC RETINOPATHY It s difficult living with Diabetes Mellitus. Ask any diabetic... Their lives are centered around meal plans, glucose levels, and insulin

More information

Diabesity A Public Health Crisis: AOA Evidence Based Translation to Care Series

Diabesity A Public Health Crisis: AOA Evidence Based Translation to Care Series Diabesity A Public Health Crisis: AOA Evidence Based Translation to Care Series Joseph J. Pizzimenti, OD, FAAO Associate Professor Nova Southeastern University The Eye Care Institute pizzimen@nova.edu

More information

Glaucoma. Cornea. Iris

Glaucoma. Cornea. Iris Glaucoma Introduction Glaucoma is a group of eye diseases that can lead to blindness if not treated. Openangle glaucoma, the most common form of glaucoma, affects about 3 million Americans. Half of those

More information

Eyes on Diabetics: How to Avoid Blindness in Diabetic Patient

Eyes on Diabetics: How to Avoid Blindness in Diabetic Patient Eyes on Diabetics: How to Avoid Blindness in Diabetic Patient Rova Virgana FK Unpad Pusat Mata Nasional RS Mata Cicendo Bandung Eye Center (Hospital and Clinic) PIT IDI Jabar 2018 Keys Facts from WHO

More information

Diabetes and Eye Health more than meets the eye Vision Initiative - in association with PSA

Diabetes and Eye Health more than meets the eye Vision Initiative - in association with PSA Diabetes and Eye Health more than meets the eye Vision Initiative - in association with PSA Vision 2020 Australia Vision Initiative RANZCO & OAA (Vic) Proud members of Vision 2020 Australia Outline Vision

More information

Diabetic Retinopathy

Diabetic Retinopathy Diabetic Retinopathy Diabetes can be classified into type 1 diabetes mellitus and type 2 diabetes mellitus, formerly known as insulin-dependent diabetes mellitus, and non-insulin diabetes mellitus, respectively.

More information

Diabetic Retinopatathy

Diabetic Retinopatathy Diabetic Retinopatathy Jay M. Haynie, OD, FAAO Financial Disclosure I have received honoraria or am on the advisory board for the following companies: Carl Zeiss Meditec Arctic DX Macula Risk Advanced

More information

Nausheen Khuddus, MD Melissa Elder, MD, PhD

Nausheen Khuddus, MD Melissa Elder, MD, PhD Nausheen Khuddus, MD Melissa Elder, MD, PhD Nausheen Khuddus, MD Pediatric Ophthalmologist and Strabismus Specialist Accent Physicians Gainesville, Florida What Is Uveitis? Uveitis is caused by inflammatory

More information

DIABETES AND YOUR EYES. Presented by Dr. Andrea Hagler

DIABETES AND YOUR EYES. Presented by Dr. Andrea Hagler DIABETES AND YOUR EYES Presented by Dr. Andrea Hagler Tahlequah, OK Forest Grove, OR Brief Review of Diabetes The body s endocrine system is responsible for regulating growth, reproduction, and tissue

More information

OCT Angiography in Primary Eye Care

OCT Angiography in Primary Eye Care OCT Angiography in Primary Eye Care An Image Interpretation Primer Julie Rodman, OD, MS, FAAO and Nadia Waheed, MD, MPH Table of Contents Diabetic Retinopathy 3-6 Choroidal Neovascularization 7-9 Central

More information

Posterior Segment Update

Posterior Segment Update Posterior Segment Update Featured Speaker: Dr. Kyle Cheatham, FAAO, DIP ABO DISCLOSURE STATEMENT We have no direct financial or proprietary interest in any companies, products or services mentioned in

More information

Jay M. Haynie, O.D.; F.A.A.O. Olympia Tacoma Renton Kennewick Washington

Jay M. Haynie, O.D.; F.A.A.O. Olympia Tacoma Renton Kennewick Washington Jay M. Haynie, O.D.; F.A.A.O. Olympia Tacoma Renton Kennewick Washington I Jay M. Haynie, OD, FAAO have received honoraria from the following companies: Reichert Technologies Notal Vision Carl Zeiss Meditec

More information

Common Causes of Vision Loss

Common Causes of Vision Loss Common Causes of Vision Loss Learning Objectives To identify the most common causes of vision loss in the United States To differentiate the most common forms of agerelated macular degeneration and diabetic

More information

Diabetes Eye Q Quiz. 1) Diabetes is the leading cause of new blindness among adults in the US under the age of 74.

Diabetes Eye Q Quiz. 1) Diabetes is the leading cause of new blindness among adults in the US under the age of 74. Diabetes Eye Q Quiz From 1997 to 2011, the number of adults with diagnosed diabetes who reported visual impairment, that is, trouble seeing even with their glasses or contact lenses, increased from 2.7

More information

Uveitis. Pt Info Brochure. Q: What is Uvea?

Uveitis. Pt Info Brochure. Q: What is Uvea? Pt Info Brochure Uveitis Q: What is Uvea? A: Uvea is the middle layer of the eye. It is the most vascular structure of the eye. It provides nutrition to the other parts of the eye. The uvea is made up

More information

Mild NPDR. Moderate NPDR. Severe NPDR

Mild NPDR. Moderate NPDR. Severe NPDR Diabetic retinopathy Diabetic retinopathy is the most common cause of blindness in adults aged 35-65 years-old. Hyperglycaemia is thought to cause increased retinal blood flow and abnormal metabolism in

More information

UVEITIS. Dr. Yılmaz ÖZYAZGAN

UVEITIS. Dr. Yılmaz ÖZYAZGAN UVEITIS Dr. Yılmaz ÖZYAZGAN UVEITIS DEFINITION BY STRICT DEFINITION, UVEITIS IS AN INFLAMMATION OF UVEAL TRACT. BUT IN PRACTICAL, IT IS GENERALLY NOT RESTRICTED TO THE UVEA AND INVOLVES OTHER ADJACENT

More information

Perspectives on Screening for Diabetic Retinopathy. Dr. Dan Samaha, Optometrist, MSc Clinical Lecturer School of Optometry, Université de Montréal

Perspectives on Screening for Diabetic Retinopathy. Dr. Dan Samaha, Optometrist, MSc Clinical Lecturer School of Optometry, Université de Montréal Perspectives on Screening for Diabetic Retinopathy 1 Dr. Dan Samaha, Optometrist, MSc Clinical Lecturer School of Optometry, Université de Montréal Current standards 2 According to the Canadian Diabetes

More information

Moncef Khairallah, MD

Moncef Khairallah, MD Moncef Khairallah, MD Department of Ophthalmology, Fattouma Bourguiba University Hospital Faculty of Medicine, University of Monastir Monastir, Tunisia INTRODUCTION IU: anatomic form of uveitis involving

More information

Measures have been taken, by the Utah Department of Health, Bureau of Health Promotions, to ensure no conflict of interest in this activity.

Measures have been taken, by the Utah Department of Health, Bureau of Health Promotions, to ensure no conflict of interest in this activity. Measures have been taken, by the Utah Department of Health, Bureau of Health Promotions, to ensure no conflict of interest in this activity. CNE/CPE/CEU s are available for this live webinar. You must

More information

Five Things You re Missing with Your Fundus Camera

Five Things You re Missing with Your Fundus Camera ebook Five Things You re Missing with Your Fundus Camera By Donald J. Siegel, OD, Sun City West Eye Care Sponsored by: Before I began incorporating EIDON true-color imaging into my practice, my retinal

More information

Diabetic Retinopathy WHAT IS DIABETIC RETINOPATHY? WHAT CAUSES DIABETIC RETINOPATHY? WHAT ARE THE STAGES OF DIABETIC RETINOPATHY?

Diabetic Retinopathy WHAT IS DIABETIC RETINOPATHY? WHAT CAUSES DIABETIC RETINOPATHY? WHAT ARE THE STAGES OF DIABETIC RETINOPATHY? Diabetic Retinopathy WHAT IS DIABETIC RETINOPATHY? Diabetic retinopathy affects 8 million Americans with diabetes. A leading cause of blindness in American adults, it is caused by damage to the small blood

More information

Diabetic Retinopathy Screening in Hong Kong. Dr. Rita Gangwani M.S, FRCS (Ophth), FCOphth(HK), FHKAM Eye Institute, The University of Hong Kong

Diabetic Retinopathy Screening in Hong Kong. Dr. Rita Gangwani M.S, FRCS (Ophth), FCOphth(HK), FHKAM Eye Institute, The University of Hong Kong Diabetic Retinopathy Screening in Hong Kong Dr. Rita Gangwani M.S, FRCS (Ophth), FCOphth(HK), FHKAM Eye Institute, The University of Hong Kong Co-Investigators Prof. David Wong Prof. Sarah McGhee Dr. Wico

More information

Control of Systemic Factors Can Preserve Vision in Diabetic Retinopathy

Control of Systemic Factors Can Preserve Vision in Diabetic Retinopathy dmcjuly05_cme_dr 7/28/05 9:19 AM Page 38 Control of Systemic Factors Can Preserve Vision in Diabetic Retinopathy Jointly sponsored by The Dulaney Foundation and Diabetic Microvascular Complications Today.

More information

Medical Retina 2011 Nicholas Lee

Medical Retina 2011 Nicholas Lee Medical Retina 2011 Nicholas Lee 1 Diabetic Retinopathy Epidemiology 1000 registered blind each year 2% diabetics registered as blind (8% of all Blind Registrations) 42% with Mild Background DR will progress

More information

10/8/13. the diabetes epidemic: strategies for saving sight. financial disclo$ure. unlabeled-investigative use disclosure

10/8/13. the diabetes epidemic: strategies for saving sight. financial disclo$ure. unlabeled-investigative use disclosure 10/8/13 ASORN 2013 Annual Meeting New Orleans, LA the diabetes epidemic: strategies for saving sight Kate Goldblum, CNP financial disclo$ure I have no financial interests relevant to my presentation. unlabeled-investigative

More information

Note: This is an outcome measure and can be calculated solely using registry data.

Note: This is an outcome measure and can be calculated solely using registry data. Measure #191 (NQF 0565): Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery -- National Quality Strategy Domain: Effective Clinical Care DESCRIPTION: Percentage of patients

More information

Recurrent intraocular hemorrhage secondary to cataract wound neovascularization (Swan Syndrome)

Recurrent intraocular hemorrhage secondary to cataract wound neovascularization (Swan Syndrome) Recurrent intraocular hemorrhage secondary to cataract wound neovascularization (Swan Syndrome) John J. Chen MD, PhD; Young H. Kwon MD, PhD August 6, 2012 Chief complaint: Recurrent vitreous hemorrhage,

More information

Ophthalmology. Ophthalmology Services

Ophthalmology. Ophthalmology Services Ophthalmology Ophthalmology Services The Ophthalmology service offers the latest and most comprehensive eye care for patients. With a dedicated team of eye surgeons and consultants, we treat vision problems

More information

Introduction How the eye works

Introduction How the eye works 1 Introduction Diabetic retinopathy is a condition that can cause permanent loss of eyesight and even blindness. It is a major cause of loss of vision. But if a person with diabetes receives proper eye

More information

Misdiagnosed Vogt-Koyanagi-Harada (VKH) disease and atypical central serous chorioretinopathy (CSC)

Misdiagnosed Vogt-Koyanagi-Harada (VKH) disease and atypical central serous chorioretinopathy (CSC) HPTER 12 Misdiagnosed Vogt-Koyanagi-Harada (VKH) disease and atypical central serous chorioretinopathy (S) linical Features VKH disease is a bilateral granulomatous panuveitis often associated with exudative

More information

Primary Angle Closure Glaucoma

Primary Angle Closure Glaucoma www.eyesurgeonlondon.co.uk Primary Angle Closure Glaucoma What is Glaucoma? Glaucoma is a condition in which there is damage to the optic nerve. This nerve carries visual signals from the eye to the brain.

More information

UVEITIS IN GENERAL. Information for patients UVEITIS CLINIC WHAT IS UVEITIS? MAIN CATEGORIES OF UVEITIS

UVEITIS IN GENERAL. Information for patients UVEITIS CLINIC WHAT IS UVEITIS? MAIN CATEGORIES OF UVEITIS Information for patients UVEITIS CLINIC UVEITIS IN GENERAL WHAT IS UVEITIS? The uvea is a name given to the pigmented layer of tissue inside the eye. When all or part of the uvea becomes inflamed, the

More information

Diabetic Retinopathy What You Should Know. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Eye Institute

Diabetic Retinopathy What You Should Know. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Eye Institute Diabetic Retinopathy What You Should Know U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Eye Institute The National Eye Institute (NEI) conducts and supports research

More information

Diabetic Retinopathy Information

Diabetic Retinopathy Information http://www.midwestretina.com Phone: (614)-339-8500 Toll Free: (866)-373-8462 Sugat S. Patel, M.D. Louis J. Chorich III, M.D. Dino D. Klisovic, M.D. Lisa M. Borkowski, M.D. Dominic M. Buzzacco, M.D. Johnstone

More information

Spontaneous Regression of Neovascularization at the Disc in Diabetic Retinopathy

Spontaneous Regression of Neovascularization at the Disc in Diabetic Retinopathy Korean J Ophthalmol Vol. 18:41-46, 2004 Spontaneous Regression of Neovascularization at the Disc in Diabetic Retinopathy Jae Ryong Han, MD, Won Kyung Ju, MD, In Won Park, MD Department of Ophthalmology,

More information

Uveitis. What is Uveitis?

Uveitis. What is Uveitis? Uveitis What is Uveitis? Uveitis [u-vee-i-tis] is a term for inflammation of the eye. It can occur in one eye or both eyes and affects the layer of the eye called the uvea [u-vee-uh]. It also can be associated

More information

A LOOK INSIDE DIABETIC EYE DISEASE

A LOOK INSIDE DIABETIC EYE DISEASE A LOOK INSIDE DIABETIC EYE DISEASE JILL M. DILLON, O.D. DEPARTMENT OF OPHTHALMOLOGY/OPTOMETRY MARSHFIELD CLINIC 1 FINANCIAL DISCLOSURES I have no financial interest or relationships to disclose. Any references

More information

Champlain LHIN. Estimated that 55,563 people over age 18 live with diabetes

Champlain LHIN. Estimated that 55,563 people over age 18 live with diabetes Champlain LHIN Estimated that 55,563 people over age 18 live with diabetes Healthy, caring communities supported by health services of choice that achieve results- today and for the future Impact of Diabetes

More information

Guidelines for the Management of Diabetic Retinopathy for the Internist

Guidelines for the Management of Diabetic Retinopathy for the Internist Visual Disorder Guidelines for the Management of Diabetic Retinopathy for the Internist JMAJ 45(1): 1 7, 2002 Sadao HORI Professor, Department of Ophthalmology, Tokyo Women s Medical University Abstract:

More information

Preventing Avoidable Vision loss from Diabetic Retinopathy in Indian Country

Preventing Avoidable Vision loss from Diabetic Retinopathy in Indian Country Diabetes in Indian Country- 2017 Preventing Avoidable Vision loss from Diabetic Retinopathy in Indian Country Albuquerque, NM 20 September2017 Mark B. Horton, OD, MD Director, IHS/JVN Teleophthalmology

More information

Year 2 MBChB Clinical Skills Session Ophthalmoscopy. Reviewed & ratified by: Mr M Batterbury Consultant Ophthalmologist

Year 2 MBChB Clinical Skills Session Ophthalmoscopy. Reviewed & ratified by: Mr M Batterbury Consultant Ophthalmologist Year 2 MBChB Clinical Skills Session Ophthalmoscopy Reviewed & ratified by: o Mr M Batterbury Consultant Ophthalmologist Learning objectives o To understand the anatomy and physiology of the external and

More information

Aging & Ophthalmology

Aging & Ophthalmology Aging & Ophthalmology Pr Jean-Marie Rakic Dr Denis Malaise January 2018 Major ocular diseases 1. Cataract 2. Age-related macular degeneration 3. Ischemic optic neuropathy 4. Horton arteritis 5. Glaucoma

More information

New Developments in the treatment of Diabetic Retinopathy

New Developments in the treatment of Diabetic Retinopathy New Developments in the treatment of Diabetic Retinopathy B. Jeroen Klevering University Medical Centre Nijmegen - The Netherlands Topics Management of diabetic retinopathy Interventions a. primary (prevention)

More information

Long-Term Visual Outcome in Proliferative Diabetic Retinopathy Patients After Panretinal Photocoagulation

Long-Term Visual Outcome in Proliferative Diabetic Retinopathy Patients After Panretinal Photocoagulation Long-Term Visual Outcome in Proliferative Diabetic Retinopathy Patients After Panretinal Photocoagulation Murat Dogru, Makoto Nakamura, Masanori Inoue and Misao Yamamoto Department of Ophthalmology, Kobe

More information

Flashers and Floaters

Flashers and Floaters Flashers and Floaters Introduction Sometimes people see small, moving spots or specks in their field of vision. These sensations are called floaters. About 7 out of 10 people experience floaters at some

More information

Screening for Uveitis in Children

Screening for Uveitis in Children Information for patients and parents Manchester Royal Eye Hospital Paediatric Uveitis Service Screening for Uveitis in Children What is uveitis? Uveitis is inflammation of a layer of the eye, called the

More information

Retinal Tear and Detachment

Retinal Tear and Detachment Retinal Tear and Detachment Introduction The retina is the layer of tissue in the back of the eye that is responsible for vision. It is attached to the choroid tissue, which supplies the retina with blood.

More information

Epiretinal membrane. Information for patients Ophthalmology (Vitreal Retina) Large Print

Epiretinal membrane. Information for patients Ophthalmology (Vitreal Retina) Large Print Epiretinal membrane Information for patients Ophthalmology (Vitreal Retina) Large Print What is epiretinal membrane? An epiretinal membrane is a condition where a very thin layer of scar tissue forms on

More information

GENERAL INFORMATION DIABETIC EYE DISEASE

GENERAL INFORMATION DIABETIC EYE DISEASE GENERAL INFORMATION DIABETIC EYE DISEASE WHAT IS DIABETIC EYE DISEASE? Diabetic eye disease is a term used to describe the common eye complications seen in people with diabetes. It includes: Diabetic retinopathy

More information

Retinal Complications of Obstructive Sleep Apnea A Growing Concern!

Retinal Complications of Obstructive Sleep Apnea A Growing Concern! Retinal Complications of Obstructive Sleep Apnea A Growing Concern! Jay M. Haynie, OD, FAAO Financial Disclosure I have received honoraria or am on the advisory board for the following companies: Carl

More information

Documentation, Codebook, and Frequencies

Documentation, Codebook, and Frequencies Documentation, Codebook, and Frequencies Ophthalmology Retinal Imaging Examination Survey Years: 2005 to 2006 SAS Transport File: OPXRET_D.XPT December 2008 NHANES 2005 2006 Data Documentation Exam Component:

More information

Do You See What I See!!! Shane R. Kannarr, OD

Do You See What I See!!! Shane R. Kannarr, OD Do You See What I See!!! Shane R. Kannarr, OD skannarr@kannarreyecare.com Define Specialty Testing Additional Test to: Prove/Disprove Diagnosis To monitor progression of a condition To document a condition

More information

Your eyes are. a window to your health. Take a closer look with optomap.

Your eyes are. a window to your health. Take a closer look with optomap. Your eyes are a window to your health. Take a closer look with optomap. Protect your vision. Bringing the most advanced technology to our patients, we recommend optomap ultra-wide digital retinal imaging

More information

MAGNITUDE OF DIABETIC EYE DISEASE IN INDIA

MAGNITUDE OF DIABETIC EYE DISEASE IN INDIA Dear Doctor This booklet contains information about your role as a physician in preventing blindness in your diabetic patients. You are the first point of contact for your diabetic patients. You see them

More information

INTRODUCTION AND SYMPTOMS

INTRODUCTION AND SYMPTOMS CHAPTER 1 INTRODUCTION AND SYMPTOMS Introduction of Diabetic Retinopathy Diabetic retinopathy (DR) is a potentially blinding complication of diabetes. It is defined as presence of one or more definite

More information

Management of uveitis

Management of uveitis Management of uveitis DR. ANUPAMA KARANTH Anti-inflammatory agents -itis = inflammation Treatment : stop inflammation Use anti-inflammatory drugs Most potent of such agents : Corticosteroids Corticosteroids

More information

ASSESSING THE EYES. Structures. Eyelids Extraocularmuscles Eyelashes Lacrimal glands: Lacrimal ducts Cornea Conjunctiva Sclera Pupils Iris.

ASSESSING THE EYES. Structures. Eyelids Extraocularmuscles Eyelashes Lacrimal glands: Lacrimal ducts Cornea Conjunctiva Sclera Pupils Iris. ASSESSING THE EYES Structures External Eyelids Extraocularmuscles Eyelashes Lacrimal glands: Lacrimal ducts Cornea Conjunctiva Sclera Pupils Iris 1 2 Structures Internal Optic disc Physiological cup Retinal

More information

Macular Hole Surgery

Macular Hole Surgery What is the macula? Macular Hole Surgery The macula is the part of the retina that enables us to make out things clearly and see colours. Rays of light enter the eye and are focused on the macular area

More information

ZEISS AngioPlex OCT Angiography. Clinical Case Reports

ZEISS AngioPlex OCT Angiography. Clinical Case Reports Clinical Case Reports Proliferative Diabetic Retinopathy (PDR) Case Report 969 PROLIFERATIVE DIABETIC RETINOPATHY 1 1-year-old diabetic female presents for follow-up of proliferative diabetic retinopathy

More information

Retina of Auburn & Metro-Columbus

Retina of Auburn & Metro-Columbus INFORMED CONSENT FOR VITRECTOMY SURGERY What is a vitrectomy? Vitrectomy is the surgical removal of the vitreous gel from the middle of the eye. This procedure may be done for several reasons. To remove

More information

Scrub In. What is the function of vitreous humor? What does the pupil do when exposed to bright light? a. Maintain eye shape and provide color vision

Scrub In. What is the function of vitreous humor? What does the pupil do when exposed to bright light? a. Maintain eye shape and provide color vision Scrub In What is the function of vitreous humor? a. Maintain eye shape and provide color vision b. Maintain eye shape and refract light rays c. Provide night vision and color vision d. Provide night vision

More information

PRECISION PROGRAM. Injection Technique Quick-Reference Guide. Companion booklet for the Video Guide to Injection Technique

PRECISION PROGRAM. Injection Technique Quick-Reference Guide. Companion booklet for the Video Guide to Injection Technique Injection Technique Quick-Reference Guide PRECISION PROGRAM Companion booklet for the Video Guide to Injection Technique Available at www.ozurdexprecisionprogram.com Provides step-by-step directions with

More information

Subclinical Diabetic Macular Edema Study

Subclinical Diabetic Macular Edema Study Diabetic Retinopathy Clinical Research Network Subclinical Diabetic Macular Edema Study Version 2.0 March 21, 2006 Subclinical DME Protocol v2 0 3-21-06.doc Table of Contents Chapter 1. Background Information

More information