In this episode we walk through a case of diabetic retinopathy (DR) with Dr. Al-khersan. This episode focuses less on the granular details of grading DR and more on how to interpret relevant information from a diabetic eye exam. 

Learning points from this episode:
Common causes for decreased vision in diabetes

Vitreous hemorrhage

Macular Edema

Cataracts 

Tractional Retinal Detachment


Common causes of decreased vision in ANYONE

Misplaced glasses?

Presbyopia


A framework for taking a solid ocular history for EVERY patient

HPI, “what brings you in today?”

Past Medical History

Medications

Drops, if using, frequency, which eye

Past Ocular History

Past Ocular Surgical History

Allergies to drops

Glasses Rx


Follow-up questions for the patient:

Previous intravitreal injections (anti-VEGF, steroids)? 

Have they been hospitalized

Recent HbA1C, or common at home glucose readings


Ocular Vitals:

External (bruising, BCC, lesions, proptosis, ptosis)

Visual acuity, best corrected

Pupils

IOP

EOM

Confrontational VF


Slit Lamp findings associated with diabetes

Rubeosis iridis 

Hyphema

Cataracts 

Retinal Hemorrhage

Vitreous Hemorrhage 


Imaging modalities 

OCT

Fluorescein Angiography 


The Lens Pod is a podcast intended for educational uses only and reflects the opinions of the hosts and guests.

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