Diabetic Retinopathy Bruno Lumbroso, Marco Rispoli, Maria Cristina Savastano
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fm1Diabetic Retinopathyfm2
fm3Diabetic Retinopathy
Bruno Lumbroso MD Director, Centro Italiano Macula Former Director, Rome Eye Hospital Rome, Italy Marco Rispoli MD Staff Ophthalmologist Department of Ophthalmology Ospedale Nuova Regina Margherita Centro Italiano Macula Maria Cristina Savastano MD PhD Catholic University of Rome Centro Italiano Macula Rome, Italy
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Diabetic Retinopathy
First Edition: 2015
9789351528982
Printed at
fm5Preface
Diabetes is one of the main causes of blindness in many countries and also of severe loss of vision in the working population. In most industrialized countries, 4% of the population is affected by diabetes and it is increasing all over the world. Diabetic retinopathy is a social, clinical and economic problem of primary importance. Unfortunately, we still see patients with advanced diabetic retinopathy, difficult to treat, due to late diagnosis.
Illustrated with numerous drawings, fluorescein angiography but also sagittal and frontal OCT images and the latest OCT angiography figures, this concise manual intends to give, in its first part, the basic information on epidemiology, pathogenesis and classification of diabetic retinopathy. The second part shows how to read and interpret fluorescein angiography, classic cross-section and “en face” OCT, and the most recent OCT angiography, documenting and diagnosing the different features of background, nonproliferative and proliferative diabetic retinopathy. We have been teaching logical methods of retinal imaging analysis and interpretation for many years. Diagnoses must be the product of logical processes. We must follow a rational method to interpret retinal imaging.
Tables and flow charts offer guidance through the difficult diagnoses. The inability to formulate an exact diagnosis could derive from insufficient knowledge or the insufficient logical exploitation of one's knowledge. This manual illustrates a logical and simple analysis and interpretation method of diabetic retinopathy imaging.
I want to thank the Artist, Donata Piccioli for the beautiful drawings that illustrate this handbook.
Bruno Lumbroso
Marco Rispoli
Maria Cristina Savastanofm6