A 45 year old type1 diabetes mellitus patient had an annual checkup. Ophthalmoscopy showed dot and blot hemorrhage + hard exudate and multiple cotton wool spots. What is the next step in management?
belongs to book: 1700 MCQ REVISED VERSION TOPIC WISE|DR. KHALID SAIFULLAH|4th EDITION| Chapter number:4| Question number:2
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The key is D. Non-urgent referral to ophthalmologist. [Controlling diabetes and maintaining the
HbA1c level in the 6-7% range are the goals in the optimal management of diabetes and diabetic
retinopathy. If the levels are maintained, then the progression of diabetic retinopathy is reduced
substantially. Dot and blot hemorrhage + hard exudate and multiple cotton wool spots indicate this is
pre-proliferative retinopathy. So non-urgent referral to ophthalmologist should be done. If proliferative
retinopathy (with neovascularization) urgent referral is indicated].
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