Medical Surgical Nursing

(Tina Sui) #1

Diabetic Retinopathy



  • Changes in the retinal capillaries; lead to retinal ischemia.

  • Changes include microaneurysms, intraretinal hemorrhage, hard exudates, and focal


capillary closure



  • Retinopathy stages: nonproliferative (background), preproliferative, & proliferative.

  • Yearly eye exams are recommended


Diagnosis and treatment



  • Dx: Direct visualization, fluorescein angiography.

  • Treatment: control Blood pressure and glucose, stop smoking , and vitrectomy


A major hemorrhage into the vitreous may occur, with the vitreous fluid becoming


mixed with blood, preventing light from passing through the eye; this can cause


blindness. A vitrectomy is a surgical procedure in which vitreous humor filled with


blood or fibrous tissue is removed with a special drill-like instrument and replaced with
saline or another liquid.

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