Retinopatia Diabética Grave (RDNP) — Caso Oftalmologia

Modalidade: retinal photo Disco Óptico: • margins: bem definidas • color: pink/orange • edema: nenhum(a) visible Vasos: • caliber: within normal limits • AV_nicking: not prominently identified • neovascularization: nenhum(a) visible Mácula: • fovealReflex: diminished • drusen: multiple small yellow deposits visible in and around the macula • edema: suggestive of macular edema, hard exudates presente Retina: • hemorrhages: prominent flame-shaped and dot-blot hemorrhages visible, especially inferior-temporal to the disc • exudates: hard exudates presente in the macular region • cottonWoolSpots: nenhum(a) clearly identified Rastreamento: • Retinopatia Diabética: moderate to severe NPDR (suggestive) • Retinopatia Hipertensiva: possible, given the hemorrhages, but DR is more prominent • Outros: macular edema suspect Recomendações: • Referral to a retina specialist for further evaluation • Optical Coherence Tomography (OCT) of the macula to evaluate edema • Fluorescein Angiography to evaluate perfusion and ischemia • Close blood pressure and blood glucose monitoring ⚠️ FERRAMENTA DE TRIAGEM — Esta análise não substitui a avaliação clínica presencial. Achados suspeitos devem ser encaminhados para avaliação especializada.