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Risk of retinal neovascularization in the second eye in patients with proliferative diabetic retinopathy.

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Authors
Vesteinsdóttir, Edda
Bjornsdottir, Sigridur
Hreidarsson, Astradur B
Stefansson, Einar
Issue Date
2010-06-01

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Citation
Acta Ophthalmol. 2010, 88(4):449-52
Abstract
PURPOSE: This study aimed to evaluate the risk of proliferative diabetic retinopathy (DR) in the fellow eye of an eye with existing proliferative DR. METHODS: Our DR screening programme database listed 1513 diabetes patients alive at the time of the study. Seventy-six had proliferative DR in one or both eyes. RESULTS: In 28 of the 76 (37%) diabetes patients, proliferative DR was diagnosed in both eyes at the same examination. Another 28 patients developed proliferative DR in the second eye within 5 years of its diagnosis in the first eye, bringing the total number of diabetes patients with proliferative DR in both eyes at 5 years to 56 (74%). Almost all the diabetes patients eventually developed proliferative DR in the second eye. The median duration of diabetes before the development of proliferative retinopathy was 19 years for type 1 and 14 years for type 2 diabetes. CONCLUSIONS: Proliferative DR is a bilateral disease. Diabetes patients with proliferative DR in one eye are at high risk of developing neovascularization in the second eye and close follow-up is recommended.
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http://dx.doi.org/10.1111/j.1755-3768.2008.01440.x
ae974a485f413a2113503eed53cd6c53
10.1111/j.1755-3768.2008.01440.x
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