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      Subacute Vision Loss in a Young Pregnant Patient With Proliferative Diabetic Retinopathy

      1 , 1 , 2
      JAMA Ophthalmology
      American Medical Association (AMA)

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          Retinal and choroidal changes with severe hypertension and their association with visual outcome.

          To investigate retinal and choroidal changes using spectral-domain optical coherence tomography (SD-OCT) and to evaluate visual outcome in patients with severe hypertension.
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            Effects of conventional argon panretinal laser photocoagulation on retinal nerve fibre layer and driving visual fields in diabetic retinopathy.

            To determine the effects of argon green panretinal laser photocoagulation on retinal nerve fibre layer thickness, threshold visual fields, and Estermann full-binocular visual fields over time in diabetic retinopathy.
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              Diabetic papillopathy in type II diabetic patients.

              To evaluate the patient characteristics and fundus findings of patients with type II diabetes presenting with diabetic papillopathy. The authors retrospectively reviewed the medical records of 3,235 patients with diabetes followed in their institution since 1986 and identified the patients with unilateral or bilateral transient disk swelling and without significant deterioration of best-corrected visual acuity. The authors investigated patient demographics, symptoms, fundus findings, ancillary test results, and clinical course of those patients. Twenty-four eyes of 16 patients with type II diabetes mellitus met the criteria. Patients had a mean age of 57.1 (+/-8.8) years and had diabetes mellitus of long duration (mean 10.0 +/- 8.6 years). Approximately half of the patients had poor metabolic control. Disk swelling was bilateral in 8 (50%) patients and resolved in an average of 7.8 +/- 3.7 months. A total of 13 (54%) eyes had nonproliferative and 2 (8%) eyes had proliferative diabetic retinopathy at presentation. In 4 (17%) eyes retinopathy progression into the proliferative stage occurred and panretinal photocoagulation was performed. Diabetic papillopathy may be found in older patients with type II diabetes. Nonproliferative or proliferative diabetic retinopathy as well as macular edema may also be associated with this disorder.
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                Author and article information

                Journal
                JAMA Ophthalmology
                JAMA Ophthalmol
                American Medical Association (AMA)
                2168-6165
                August 01 2018
                August 01 2018
                : 136
                : 8
                : 948
                Affiliations
                [1 ]Department of Ophthalmology, University of California, San Francisco, San Francisco
                [2 ]Department of Ophthalmology, Permanente Medical Group, San Francisco, California
                Article
                10.1001/jamaophthalmol.2017.6760
                29799966
                95f03ac1-77a6-4571-8d93-5b8705194fb8
                © 2018
                History

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