Grand Rounds Web SIte - Case 86
 

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Dr. Hom's Grand Rounds Case #86

                        Patient     A                                             Patient     B

 

Case History:
One of these patients has been a diabetic for 10 years with a HbA1c never less than 10% over those years. The other patient is a diabetic of 20 years with HbA1c varying between 7.0% - 9.0% over the last several years. One of these patients has absolutely no retinopathy at all with almost normal vision. The other has 20/70 best vision with 2 risk factors in 4/4 quadrants, paramacular exudates and retinal thickening visible in each eye.

Questions:
Which would you predict to have the worse retinopathy? What systemic laboratory testing would give you some clue as to the morbidity of either patient? 

 

Click here for Dr. Hom's Response

 

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