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View 2: Should this patient receive laser treatment?

Series editors: Susan Lightman and Peter McCluskey

Bascom Palmer Eye Institute, 900 NW 17th Street, Miami, FL 33136, USA; hflynn@med.miami.edu

Keywords: vision loss; vitrectomy; diabetic retinopathy; macular oedema

The first 150 words of the full text of this article appear below.

I would agree with Mr Dowler’s assessment of this patient with type 2 diabetes and very severe non-proliferative diabetic retinopathy in his right eye. Although the macular oedema is difficult to detect in non-stereoscopic fundus photographs of the macula, the presence of retinal hard exudates strongly suggests the presence of macular oedema. It is possible that this patient may have clinically significant macular oedema, although the retinal hard exudate is located a distance from the centre of fovea. His decreased visual acuity would also suggest the involvement of the fovea, either with macular oedema or possibly foveal ischaemia. It would be prudent to conduct a detailed funduscopy with biomicroscopy to view the macula stereoscopically and to perform a fluorescein angiogram. Optical coherence tomography (OCT) of the macula may be helpful. His systemic risk factors include the poor glycaemic control and dyslipidaemia. The management of this patient with diabetic retinopathy . . . [Full text of this article]