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The International Classification of Diabetic Retinopathy

The International Classification of Diabetic Retinopathy. Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales. Ophthalmology 2003Sep;110(9):1677-82. The Classification of Diabetic Retinopathy. Mild Nonproliferative Diabetic Retinopathy:

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The International Classification of Diabetic Retinopathy

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  1. The International Classification of Diabetic Retinopathy Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales. Ophthalmology 2003Sep;110(9):1677-82.

  2. The Classification of Diabetic Retinopathy • Mild Nonproliferative Diabetic Retinopathy: • Microaneurysm only • Moderate Nonproliferative Diabetic Retinopathy • Severe Nonproliferative Diabetic Retinopathy: 4, 2, 1

  3. The Classification of Diabetic Retinopathy • Severe Nonproliferative Diabetic Retinopathy: • Microaneurysms and/or dot blot hemorrhages more than 20 dots in 4 quadrant • Venous beading in 2 quadrants • Intraretina Microvascular Abnormalities (IRMA) in 1 quadrant

  4. The Classification of Diabetic Retinopathy • Proliferative Diabetic Retinopathy: • New vessels at the optic disc • New vessels elsewhere • Vitreous hemorrhage • Macular edema • Exudate at macular area

  5. Flame-shaped hemorrhage Microaneurysm / dot blot hemorrhage

  6. exudate

  7. Macular edema

  8. Cotton-wool spot

  9. Mild venous beading

  10. NVD

  11. Vitreous hemorrhage

  12. Key to DR screening • Right or left eye? • Optic disc: NV • Macula: exudate • Vessels: venous beading, NVE • Background: H/MA, cotton-wool spots, exudate, vitreous hemorrhage

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