Spontaneous closure of microaneurysms in diabetic retinopathy with treatment of co-existing anaemia
- 1Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
- 2Department of Endocrinology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
- Correspondence to: Amod Gupta MD Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India 160 012;
- Accepted 12 July 2004
Pathogenesis of diabetic retinopathy is multifactorial. Various potential risk factors include hypertension, proteinuria, and duration of diabetes, use of insulin, chronic renal disease, and anaemia. Management of diabetic macular oedema has mainly focused on laser photocoagulation of leaking microaneurysms. While anaemia has been found as an independent risk factor for the development of high risk proliferative diabetic retinopathy,1 its correction has not received due attention in the management of diabetic retinopathy. We report a patient with insulin dependent diabetes mellitus (IDDM) with coexisting nutritional anaemia, who showed spontaneous closure of the microaneurysms on correction of anaemia and metabolic control.
A 39 year man with IDDM for 12 years, presented with bilateral decrease in vision for 3 months. Examination revealed a visual acuity of 20/40 in …