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  • Retinopati Diabetika: Dr. Rochasih Mudjajanti Sp. M

    Transféré par

    Shinta Andi Sarasati
    14 vues20 pages
    Retinopathy is a microangiopathy of the retina caused by chronic hyperglycemia in diabetes mellitus. It is a leading cause of blindness among working-age people in developing countries, with 90% of diabetics developing retinopathy after 20 years. Risk factors include duration of diabetes, poor blood sugar control, hypertension, kidney disease, pregnancy, obesity, smoking, and anemia. Retinopathy is classified from non-proliferative to proliferative stages and can be treated with laser photocoagulation to prevent vision loss. Strict blood sugar control can delay the progression of retinopathy.

    Description originale:

    pengertian, etiologi, tatalaksana

    Titre original

    1. RETINOPATI DIABETIKA

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    Retinopathy is a microangiopathy of the retina caused by chronic hyperglycemia in diabetes mellitus. It is a leading cause of blindness among working-age people in developing countries, with 90% of diabetics developing retinopathy after 20 years. Risk factors include duration of diabetes, poor blood sugar control, hypertension, kidney disease, pregnancy, obesity, smoking, and anemia. Retinopathy is classified from non-proliferative to proliferative stages and can be treated with laser photocoagulation to prevent vision loss. Strict blood sugar control can delay the progression of retinopathy.

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    14 vues20 pages

    Retinopati Diabetika: Dr. Rochasih Mudjajanti Sp. M

    Transféré par

    Shinta Andi Sarasati
    Retinopathy is a microangiopathy of the retina caused by chronic hyperglycemia in diabetes mellitus. It is a leading cause of blindness among working-age people in developing countries, with 90% of diabetics developing retinopathy after 20 years. Risk factors include duration of diabetes, poor blood sugar control, hypertension, kidney disease, pregnancy, obesity, smoking, and anemia. Retinopathy is classified from non-proliferative to proliferative stages and can be treated with laser photocoagulation to prevent vision loss. Strict blood sugar control can delay the progression of retinopathy.

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    sur 20

    RETINOPATI DIABETIKA

    dr. ROCHASIH MUDJAJANTI Sp. M

    DEFINISI
    MIKROANGIOPATI OKULER
    KELAINAN RETINA AKIBAT GANGGUAN
    MIKROVASKULER YANG DISEBABKAN
    HIPERGLIKEMIA KRONIK

    EPIDEMIOLOGI
    PENYEBAB UTAMA KEBUTAAN PADA USIA
    PRODUKTIF DI NEGARA BERKEMBANG
    90% PENDERITA DIABETES MENGALAMI
    RETINOPATI SETELAH 20 TAHUN
    PREVALENSI RETINOPATI DIABETIKA 30%
    PREVALENSI KEBUTAAN AKIBAT RETINOPATI
    5%

    PATOGENESIS
    DIABETES MELITUS MENYEBABKAN
    KELAINAN : KERATOKONJUNGTIVITIS
    SICCA, XANTHELASMA, MYCOTIC
    ORBITAL INFECTIONS, PERUBAHAN
    REFRAKSI SEMENTARA, KATARAK,
    GLAUKOMA, NEUROPATI OPTIK,
    KELUMPUHAN OCULOMOTOR

    PATOGENESIS

    FAKTOR RISIKO

    Duration of DM
    Control of DM. Will not prevent but delays
    Hypertension
    Renal Disease
    Pregnancy
    Obesity, hyperlipidaemia, smoking,
    anaemia

    KLASIFIKASI

    Background /Non Proliferative


    Diabetic maculopathy
    Pre-proliferative
    Proliferative
    End-stage diabetic eye disease

    BACKGROUND/ NPDR
    Microaneurism

    Exudate

    Blot haemorrhage

    Diabetic maculopathy

    Hard exudate

    Pre-proliferative
    CWS

    Haemorrhage

    Vascular tortuosity

    Microaneurism

    Proliferative retinopathy

    NVD

    NVE

    Pre-retinal haemorrhage

    Laser burn scars

    Advanced diabetic eye disease


    Preretinal fibrosis and
    tractional retinal detachment

    Rubeosis iridis

    End-stage diabetic eye disease


    PHTHISIS
    Shrunken, soft eye with
    opaque vascularised
    cornea and no visual
    potential

    SYMPTOMS/ GEJALA
    ASIMPTOMATIK UNTUK JANGKA LAMA
    STADIUM LANJUT DG EDEMA MAKULA/
    VITREOUS HEMORRHAGE VISUS
    TURUN MENDADAK

    PEM. DIAGNOSTIK
    PEM. FUNDUS DG PUPIL DIDILATASI
    OFTALMOSKOPI, FOTO FUNDUS, FFA

    DD
    VASCULAR RETINAL DISEASE

    TERAPI
    LASER: Light
    Amplification by the
    Stimulated Emission
    of Radiation
    Focal
    Grid
    Panretinal
    photocoagulation

    SCREENING
    No retinopathy or BDR with normal vision
    See yearly, or sooner if vision deteriorates

    Refer to ophthalmologist
    BDR with macular changes
    BDR with decrease in vision
    Pre-proliferative retinopathy
    Proliferative retinopathy

    PROGNOSIS
    KONTROL GD DELAY RETINOPATHY
    RUBEOSIS IRIDIS - IRREVERSIBLE

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