Summary:
Diabetic retinopathy (DR) and diabetic maculopathy (DMP) are the most frequent
and most serious complications of diabetes mellitus (DM). At present the adverse
development of these microvascular complications of DMcan be very successfully
delayed by available therapeutic methods. The success of the therapeutic proceduredepends in particular on early treatment of DRandDMPby laser coagulation
and/or pars plana vitrectomy, which presumes detection of early stages of the
disease. The authors evaluate the priorities of DR screening, the final effect of
which is a decline of blindness caused by DM. Conditions for screening of diabetic
eye disease are the diagnosis of DR by simple and safe procedures, classification
of DR on the basis of the dynamics of retinal changes and standards of treatment.
An integral part of the ophthalmological screening programme is professional
collaboration of ophthalmologists, diabetologists, general practitioners and spe-
cialists in internist medicine. Successful screening of DR makes it possible to
involve the subject in preventive and therapeutic care, education of the patient,
regular lifelong follow up and early treatment of DR and DMP. By the method of
screening of DR we reduce the risk of a decline of visual acuity and prevent severe
functional losses as a result of diabetic ophthalmological complications.
Key words:
diabetic retinopathy, screening
|