Diabetic Maculopathy

This is the commonest cause of visual impairment in diabetics. It occurs more commonly in type II diabetics. Three types of maculopathy are known and these can occur in isolation or in combination with each other. The three types are:

• Focal caused by focal leakage from a micro-aneurysm or dilated capillaries and surrounding exudates are seen (Figure 21.5).

• Diffuse oedema caused by diffuse leakage from dilated capillaries at the posterior

Figure 21.5. Focal maculopathy. EQ

pole of the eye. Retinal oedema is diffuse and can be associated with microaneurysms and few haemorrhages but exudates are absent (Figure 21.6).

• Ischaemic maculopathy is caused by closure of the perifoveal and surrounding vascular network. In addition to diffuse oedema, several dark haemorrhages might be present (Figure 21.7a). Fluorescein angiography might be required to confirm the ischaemia and determine its severity (Figure 21.7b).

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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