Saturday, January 30, 2010

Diabetic Retinopathy Workshop at IIUM Kuantan



Department of Optometry and Visual Science, International Islamic University Malaysia (IIUM) in collaboration with Eye Clinic, Hospital Tengku Ampuan Afzan (HTAA) is organizing a 3 days Diabetic Retinopathy Screening Workshop. This workshop is the first ever to be conducted in East Coast region particularly Pahang. 



The workshop module will incorporates both lectures and hands on methods of diabetic retinopathy screening using fundus camera. Lectures by the specialists in the field, it will cover both basics on diabetes and the clinical side of managing this pathology. Workshop will incorporate fundus grading in real life patients.

Participants will be awarded CPD points with certificate of participation at the end of the workshop. To keep the knowledge on, the modules in the session will be provided for each participant’s keep.

Together we eradicate blindness, promoting Optometrists as the primary eye care specialist.


From 1 st Day Workshop

Diabetic Retinopathy (DR) can be divided into Non-Proliferative DR (NPDR), Proliferative DR (PDR), and advance diabetic eye disease (ADED) . NPDR can be classified into Mild, Moderate and Severe stage.

Mild sign is microaneurysm only.

Moderate NPDR signs are microaneurysm, hard exudate, retinal oedema, dot & blot hemorrhages, retinal hemorrhage in  a few quadrants.

Severe NPDR signs are cotton wools spot, intraretinal microvascular anomalies (IRMA), beading venous, retinal oedema, dot and blot hemorrhages, retinal hemorrhage in most of quandrants.

PDR signs are new vessels formation at optic disc (neovascularization  at  optic disc <NVD>) or  elsewhere on retina <NVE- neovascularization elsewhere>.


ADED signs are formation of fibrovascular tissue proliferation, tractional retinal detachment due to contraction of fibrovascular tissue, Rhegmatogenous retinal detachment and vitreous hemorrhage . It may cause severe loss of vision.


From Day 2 DR Workshop


HANDS-ON FUNDUS GRADING SESSION


Referral


Time of onset of DM


Recommended time of 1st exam


Routine minimum Follow up


IDDM


5 years after onset


Yearly


NIDDM


At time of diagnosis


Yearly


Before pregnancy


Before or soon after conception


3 monthly



Fundus Grading


No retinopathy


Repeat Photography 12 months


Mild NPDR without maculopathy


Repeat Photography 9 months


Moderate NPDR without maculopathy


Repeat Photography 6 months


Mild/moderate NPDR with maculopathy


Refer to Eye Clinic


Severe NPDR without maculopathy


Refer to Eye Clinic


Any maculopathy


Refer to Eye Clinic


Proliferative DR


Refer urgently to Eye Clinic


Advanced Diabetic Eye Disease


Refer urgently to Eye Clinic

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