Samarth Agarwal

1 article

  1. Articles 5 Apr 2020 24 min read

    Diabetic Maculopathy

    Diabetic maculopathy is the most common cause of visual impairment in patients with diabetes mellitus. Classification Diabetic maculopathy is classified as – Exudative Maculopathy Ischemic Maculopathy Mixed Maculopathy 1. Exudative Maculopathy (Diabetic Macular Edema) It is diagnosed stereoscopically as retinal thickening within 1 disc diameter of the center of the macula using fundus biomicroscopy. To characterize the severity of macular edema and for treatment guidelines, the term clinically significant macular edema (CSME) is used. Macular edema is clinically significant if one of the following conditions is present: Retinal thickening at or within 500 mm of the center of the macula; and/or Hard exudates at or within 500 mm of the center of the macula if associated with thickening of the adjacent retina; and/or A zone or zones of retinal thickening 1 disk area in size, at least part of which is within 1 disk diameter of the macular center. It is more common in type 2 diabetes (Adult