The focus of this article is to discuss the care given to an elderly lady, Mrs Pitt, (a pseudonym) who is suffering from Diabetic Retinopathy (DR) and attending our Out Patient Department (OPD). It will start with a brief description of diabetes and the associated complications, and then give a more in-depth description of DR and the relevant anatomy and physiology. It will then give details of Mrs Pitt's history and her current care and treatment. All information will be supported by current, relevant literature.
CardillaoJ., MeloL., CostaR.2005Comparison of intravitreal versus posterior sub-Tenon's capsule injection of triamcinolone acetonide for diffuse diabetic macular oedemaOphthalmology112(9) 1557–1563
6.
CavanaghS.1991Orem's Model in ActionHampshire, Palgrave Macmillan
7.
CooperJ.1999Teaching patients in post operative eye care: the demands of day surgeryNursing Standard13(32) 42–46
8.
Department of Health2003Eye Screening Services to be Expanded for People with Diabetes [unavailable]
LaddB., SolomonS., BresslerN., BresslerS.2001Photodynamic therapy with verteporfin for choroidal neovascularization in patients with diabetic retinopathyAmerican Journal of Ophthalmology132(5) 659–667
Mayo Foundation for Medical Education and Research2006Diabetic Retinopathy Available from: www.mayoclinic.com [Accessed 5 March 2008]
17.
National Diabetic Support Team2005Hitting the Target for Retinal Screening (Fact sheet number 13) Available from: www.diabetes.nhs.uk [Accessed 5 March 2008]
18.
National Eye Institute2008Diabetic Retinopathy Available from: www.nei.nih.gov [Accessed 5 March 2008]
OremD.2001Nursing Concepts of Practice (6th Edition) St Louis, Mosby
21.
ShimuraM., YasudaK., ShionoT.2006Posterior sub-Tenon's capsule injection of triamcinolone acetonide prevents panretinal photocoagulation-induced visual dysfunction in patients with severe diabetic retinopathy and good visionOphthalmology113(3) 381–387
22.
SomduttP.1999Screening for Diabetic Retinopathy: An Overview Available from: www.priory.com/med/eye.htm [Accessed 5 March 2008]
23.
SquirrellD., BholaR., WindsorS., TalbotJ.2002A prospective, case controlled study of the natural history of diabetic retinopathy and maculopathy after uncomplicated phacoemulsification cataract surgery in patients with type 2 diabetesBritish Journal of Ophthalmology86(5) 565–571