1. 糖尿病視網膜病變

2. 糖尿病視網膜病變

3. 視力模糊, 眼前黑影, 畏光, 流淚What’s your suggestion ?

5. 糖尿病眼病變
Keratopathy 角膜
Cataract白內障
Glaucoma 青光眼
Retinopathy視網膜

6. Symptpms Painless white eye/ painful red eye 紅眼
Decrease of central vision / total visual loss 視力不良
Floater, metamrophopsia, photopsia 飛蚊 閃光

7. Examinations檢查 Visual acuity 視力 Biomicroscope ( slit lamp) Fundus
direct ophthalmoloscope
indirect ophthalmoloscope
Ultrasonography
Fluorescein angiography ( FAG )

11. 螢光眼底血管攝影檢查

13. Diabetic retinopathy糖尿病視網膜病變
Background diabetic retinopathy ( BDR )
Preproliferative diabetic retinopathy ( PPDR )
Proliferative diabetic retinopathy ( PDR )
Clinical significant macular edema ( CSME )

14. Vessel occlusion and Microaneurysm

15. Hard exudate
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16. Background diabetic retinopathy (BDR)
Microaneurysm
Hemorrhages
Hard exudate
Retinal edema

17. Preproliferative diabetic retinopathy ( PPDR )
Vascular change ( beading, looping,
sausage-like )
Cotton-wool spots
Intraretinal microvascular abnormalities

18. 4-2-1 rule for panretinal photocoagulation
Microaneurysm or hemorrhage (4 quadrants)
Venous beading (2 quadrants)
Intraretinal microvascular abnormalities (1 quadrant)
ETDRS ophthalmomogy. 1991

19. PDR

20. Proliferative diabetic retinopathy ( PDR )
Retinal neovasculization
Vitreous hemorrhage
Tractional retinal detachment

21. Clinical significant macular edema ( CSME )

22. Laser photocoagulation 視網膜光凝固鐳射治療
1. Clinical significant macular edema
( CSME )
Focal retinal photocoagulation ( FRP )
2. Neovascularization or severe PPDR
Panretinal photocoagulation ( PRP )
ophthalmomogy. 1995

23. 雷射

24. 視網膜光凝固鐳射治療

25. Surgery手術
Intravitreal injection of steroid For clinical significant macular edema
( CSME ) ophthalmomogy. 2003
Pars plana vitrectomy for vitreous hemorrhage and tractional retinal detachment
ophthalmomogy. 1998

26. Intravitreal injection of steroid眼內注射藥物
For clinical significant macular edema
( CSME )
Elevated intraocular pressure
Cataract

27. pars plana vitrectomy手術

28. Follow up schedule追蹤

30. Message to take back記住 Always follow up regularly定期追蹤
Early diagnosis and early treatment早期診斷早期治療

31. Their sight in your hands

32. Thank you