David Kinshuck Associate specialist ophthalmology Good Hope amp wwwdiabeticretinopahtyorguk Diabetic retinopathy in pregnancy What is diabetic retinopathy Mechanisms Identificationscreening ID: 920394
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Slide1
Diabetic retinopathy in pregnancy
David Kinshuck
Associate specialist ophthalmology Good Hope
&
www.diabeticretinopahty.org.uk
Slide2Diabetic retinopathy in
pregnancy
What is diabetic retinopathy
Mechanisms
Identification..screening
Treatment
Prevention
Where next
Slide3What is diabetic retinopathy
Slide4What is diabetic retinopathy
Slide5Slide6Slide7Slide8http://www.diabeticretinopathy.org.uk/dmret.html
Slide9Slide10Slide11Slide12Screening for diabetic
Red free Photographs
Selected optometrists
Some outpatient clinics
Slide13Screening for diabetic
Slide14Treatment or diabetic retinopathy when pregnant
Laser
(no anti-VEGF injections)
Intravitreal steroids (injection into the eye)
Controlling glucose,
bood
pressure, smoking, antioxidants
Slide15Laser
Slide16Prevention
Nursing support
Low HbA1c
Pumps?
glucose sensors
Slide17Lowering HbA1c quickly
Makes the retinopathy worse
Have to accept this
Slide18Where next
Never let the control get poor
Pumps, sensors,
Effective nursing support
Effective organisation
Much more effective mental health care