The Lens Pod

Diabetic Retinopathy with Dr. Has Al-khersan

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In this episode we walk through a case of diabetic retinopathy (DR) with Dr. Al-khersan. This episode focuses less on the granular details of grading DR and more on how to interpret relevant information from a diabetic eye exam. 


Learning points from this episode:

Common causes for decreased vision in diabetes

  • Vitreous hemorrhage

  • Macular Edema

  • Cataracts 

  • Tractional Retinal Detachment

    • Common causes of decreased vision in ANYONE

    • Misplaced glasses?

    • Presbyopia

      • A framework for taking a solid ocular history for EVERY patient

      • HPI, “what brings you in today?”

      • Past Medical History

      • Medications

      • Drops, if using, frequency, which eye

      • Past Ocular History

      • Past Ocular Surgical History

      • Allergies to drops

      • Glasses Rx

        • Follow-up questions for the patient:

        • Previous intravitreal injections (anti-VEGF, steroids)? 

        • Have they been hospitalized

        • Recent HbA1C, or common at home glucose readings

          • Ocular Vitals:

          • External (bruising, BCC, lesions, proptosis, ptosis)

          • Visual acuity, best corrected

          • Pupils

          • IOP

          • EOM

          • Confrontational VF

            • Slit Lamp findings associated with diabetes

            • Rubeosis iridis 

            • Hyphema

            • Cataracts 

            • Retinal Hemorrhage

            • Vitreous Hemorrhage 

              • Imaging modalities 

              • OCT

              • Fluorescein Angiography 

                • The Lens Pod is a podcast intended for educational uses only and reflects the opinions of the hosts and guests.

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