Red Dots!

⁣𝐌𝐢𝐜𝐫𝐨𝐚𝐧𝐞𝐮𝐫𝐲𝐬𝐦𝐬⁣⁣ ⁣⁣ ● Microaneurysms are usually the first ophthalmoscopically detectable sign of diabetic retinopathy⁣⁣ ⁣⁣ ● Hallmark of nonproliferative diabetic retinopathy (NPDR)⁣⁣ ⁣⁣ ● Mild NPDR- Microaneurysms only⁣⁣ ⁣⁣ ● Also seen in - retinal vein occlusions, radiation retinopathy, hypertensive retinopathy⁣⁣



⁣⁣ 𝐏𝐚𝐭𝐡𝐨𝐥𝐨𝐠𝐲:⁣⁣ ⁣⁣ ● Focal saccular outpouchings of the capillary wall due to pericyte loss⁣⁣ ⁣⁣ ● Arise from deep part of inner retinal capillary plexus, and are present in the inner nuclear layer⁣⁣ ⁣⁣ 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐬:⁣⁣ ⁣⁣ ● Appear as small round red dots - usually seen at the posterior pole, especially temporal to fovea⁣⁣ ⁣⁣ ● 10- 100 microns in diameter⁣⁣ ⁣⁣ ● Only > 30 microns is visible ophthalmoscopically (better on red free illumination)⁣⁣ ⁣⁣ ● < 30 microns can be seen on FFA and hence more microaneurysms are seen on FFA than fundus⁣⁣ ⁣⁣ ● Hyperfluroscent with late leakage on FFA⁣ ⁣ Image from Rajan Eye Care Hospital ⁣ #ophthalmology #ophthal #retina #diabeticretinopathy #doctor #health #medical #vision #education #optometry #medicalstudent #optometrist #medicine #eye #ophtho #ophthalmologist #ophthalmo #med #medicaleducation #ophthalmologyresident #ophthalmologyresidency

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