A&P - Diabetes, Diabetic Retinopathy MKS

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DIABETES WITH PROLIFERATIVE CHANGES

Edu pt on condition and exam findings. Counselled pt on risk of blindness and the importance of treating the underlying systemic condition. Emphasized to pt importance of systemic blood glucose control. Report was sent to pt's PCP regarding ocular findings. Pt referred to an ophthalmologist specializing in vitreo-retinal care for surgical intervention. Pt counseled on use of anti-VEGF and/or retinal laser for treatment of retinopathy; risks and benefits of treatment were discussed with the patient. Pt scheduled to RTC for monitoring and imaging services as indicated. 

Appointment has been scheduled for pt at ***insert***. Pt understands cost associated with treatment and was provided detailed information in clinic today about when/where to proceed for surgical intervention.


DIABETES WITH RETINOPATHY

Edu pt on condition and exam findings. Counseled pt on risk of vision loss if underlying condition is not controlled. Emphasized importance of systemic blood glucose control. Pt to RTC for monitoring and imaging services as indicated. 

RTC in 1 yr for diabetic eye exam, unless symptoms arise sooner.

Continue to monitor with fundus evaluation and consider OCT testing at next f/u.


DIABETES WITHOUT OCULAR COMPLICATIONS

Edu pt on condition and exam findings and counselled pt on possibility of diabetic changes to the eye if underlying systemic condition is not controlled. Recommended pt to continue following up with PCP for systemic care.

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