Assessment of Diabetic retinopathy: Video, Anatomy & Definition | Osmosis

Question

A 65-year-old woman comes to the clinic for a routine eye examination. Medical history includes type 2 diabetes diagnosed 15 years ago, as well as hypertension and chronic kidney disease. Medications include insulin, lisinopril, and atorvastatin. Up until 6 months ago, the diabetes had been controlled on metformin and liraglutide, but since then, the patient&#8217;s physician switched to monotherapy with insulin, due to increasing capillary blood glucose measurements and hemoglobin A1c. The patient&#8217;s temperature is 36.7&#176;C (98.0&#176;F), pulse is 70/min, respirations are 18/min, and blood pressure is 130/85 mmHg. Visual acuity testing shows a score of 20/60 in both eyes. Which of the following is most likely to be found on an ophthalmoscopic examination? &#160;

Accepted Answer

Leakage of lipid and proteinaceous materia

Answer

Retinal macroaneurysms

Answer

Proliferation of retinal pericytes

Answer

Retinal vein endothelial atrophy

Answer

Thinned retinal basement membrane &#160;

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Diabetic retinopathy

Pathology

Endocrine system