Ten Pearls for Managing A case of Proliferative Diabetic Retinopathy
Diabetes has reached epidemic proportions in many developing economies, such as China and India. Type 2 DM contributes to 90% of the cases. An astonishing 53 % of these cases remain undiagnosed(1). Health-seeking behaviour in India is amongst the poorest with 90% of patients being not aware of the need for regular fundus examination(2). The onus of imparting knowledge on such patients lies with the primary health care provider at the time of diagnosis. It is also the prime duty of the patient to gain knowledge about the disease. Catch them early Advice on the need for regular fundus examination should be given during the time of diagnosis. For type 2 diabetes, screening guidelines are fundus examination at the time of diagnosis and thereafter yearly, mild NPDR - yearly, moderate NPDR - 6 monthly, severe NPDR - 3 monthly follow up are mandatory. High resolution fundus images can be used for follow-up and patient education. Deep learning, a state-of-the-art machine learning technique is
Dr. Indu Govindaraj · Dr. Anand Rajendran