Adam,Rouilly AR403 - Conditions and Diseases of the Retina; Condition 1 This view is of the optic disc and temporal retina; Condition 2 This view is of the optic disc and temporal retina

Condion 2
This view is of the opc disc and temporal rena
The main clinical features are:
• Mulple hard exudates in the macular area,
some are circinate
• Haemorrhages and Microaneurysmse
This diagnosis is consistent with:
DIABETIC MACULOPATHY (with visual acuity ≤ 6/12)
Comment:
The visual acuity may be reduced depending on the locaon and macular oedema. Circinate
hard exudates oen have Microaneurysms at their centre. The haemorrhages in the inferior
temporal arcade are linear (ame-shaped). Along the vascular arcades the hard exudates
are linear around the central macular area. These are key features of grade 3 hypertensive
renopathy. Hypertension is an important risk factor for Diabec Renopathy. The darker
renal appearance is normal in an Asian or Afro-Caribbean paent.
Condion 1
This view is of the opc disc and temporal rena
The main clinical features are:
• Blot haemorrhages in the nasal macular
area and superior temporal arcade
• Hard exudates along the inferior temporal
arcade
• Microaneurysms (MA) in the macular area
• Circinate exudates along the inferior tempo-
ral arcade
This diagnosis is consistent with:
BACKGROUND DIABETIC RETINOPATHY AND DIABETIC MACULOPATHY
(if Visual Acuity ≤ 6/12)
Comment:
The macular area, as dened by a circle area centred on the fovea with its radius extending
to the edge of the opc disc, has exudates in it. This makes the condion Maculopathy. If the
visual acuity was normal and there were Microaneurysms and haemorrhage only, then this
would be background diabec renopathy alone. Normal VA is usually dened as beer than
6/12. Microaneurysms are dened as round red dots less than the diameter of a vein at the
opc disc margin. Other red lesions are usually haemorrhages.
Condions and Diseases of the Rena
Diabec Renopathy: Condions 1 - 8 (Condions shown for Right Eye)
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