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Classification of diabetic retinopathy: from screening to diagnosis
Author(s) -
Wiedemann P.
Publication year - 2015
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2015.0078
Subject(s) - medicine , diabetic retinopathy , categorization , diabetes mellitus , retinopathy , disease , incidence (geometry) , fluorescein angiography , optometry , intensive care medicine , stage (stratigraphy) , pediatrics , ophthalmology , visual acuity , pathology , artificial intelligence , computer science , paleontology , physics , biology , optics , endocrinology
Summary The global incidence and prevalence of diabetes mellitus have reached epidemic proportions. Estimates indicate that more than 350 million people will be affected by diabetes mellitus by 2030. All of these individuals will be at risk of developing diabetic retinopathy ( DR ). It is necessary to categorize, classify and stage the severity of DR in order to provide adequate therapy. With proper management more than 90% of cases of visual loss can be prevented. The purpose of this presentation is to review the classification of DR with a special emphasis on the International Clinical Disease Severity Scale for DR . This new classification is simple to use, easy to remember and based on scientific evidence. It is based on clinical examination and applying the Early Treatment of Diabetic Retinopathy Study 4:2:1 rule. Together with general medical information it allows a risk based assessment. Specialized examinations such as optical coherence tomography or fluorescein angiography support treatment decisions.