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Ординатура / Офтальмология / Учебные материалы / Clinical Strategies in the Management of Diabetic Retinopathy Springer.pdf
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Non-proliferative Diabetic Retinopathy

2

 

Francesco Bandello, Rosangela Lattanzio,

Ilaria Zucchiatti, and Giuseppe Petruzzi

Contents

2.1

Clinical Overview ...........................................................................................................

20

 

2.1.1

Clinical Findings.................................................................................................

20

 

2.1.2

Classification of NPDR.......................................................................................

24

 

2.1.3 Atypical Forms of NPDR....................................................................................

28

2.2

Diagnostic Tools .............................................................................................................

31

 

2.2.1

Telemedicine .......................................................................................................

31

 

2.2.2

Fundus Photography ...........................................................................................

32

 

2.2.3

Fluorescein Angiography....................................................................................

34

 

2.2.4

Ultrasonography..................................................................................................

36

 

2.2.5

Optical Coherence Tomography .........................................................................

36

 

2.2.6 Adaptive Optics Scanning Laser Ophthalmoscope.............................................

39

 

2.2.7

Multifocal Electroretinogram..............................................................................

39

 

2.2.8 Pattern Visual Evoked Potentials ........................................................................

40

 

2.2.9

Other Diagnostic Tools .......................................................................................

41

2.3

Present Therapies ............................................................................................................

41

 

2.3.1

Primary Interventions..........................................................................................

42

 

2.3.2

Secondary Interventions......................................................................................

48

2.4

Evolving Algorithms.......................................................................................................

49

 

2.4.1

Screening.............................................................................................................

49

 

2.4.2

Laser Photocoagulation.......................................................................................

53

2.5

New Frontiers..................................................................................................................

57

References

................................................................................................................................

58

F. Bandello, MD, FEBO (*) • R. Lattanzio, MD • I. Zucchiatti, MD • G. Petruzzi, MD Department of Ophthalmology, University Vita-Salute,

Scientific Institute San Raffaele, via Olgettina 60, Milan 20132, Italy e-mail: bandello.francesco@hsr.it; lattanzio.rosangela@hsr.it; ilaria.zucchiatti@gmail.com; giupetruzzi87@libero.it

F. Bandello et al. (eds.), Clinical Strategies in the Management of Diabetic Retinopathy,

19

DOI 10.1007/978-3-642-54503-0_2, © Springer-Verlag Berlin Heidelberg 2014