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



Time of onset of DM

Recommended time of 1st exam

Routine minimum Follow up


5 years after onset



At time of diagnosis


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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