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[IP] Re: Eye Problems

>  Though Claire's eyes were so naturally dilated, the drops weren't necessary!
> Barbara, Mum of Claire 8

Hi Barbara,

 FYI, the ADA Standards of Care, 2003 recommends the following in re: eye

 Patients with Type 1 DM should have an initial, dilated, and comprehensive eye
examination by an opthamologist or optometrist within 3-5 years after the onset
of diabetes.
 Exams should be repeated annually by an opthamologist or optometrist who is
knowledgeable and experienced in diagnosing the presence of diabetic
retinopathy, and is aware of its management. Examine more frequently if
retinopathy is progressing.
 Prompt referral of patients with any level of macular edema severe NPDR
(nonproliferative diabetic retinopathy), or any PDR (proliferative diabetic
retinopathy) to an opthalmologist with experience in treating these conditions.

 My daughter's opthamologist took a baseline retinal picture when she had her
first appointment about 3 years ago. He repeated them this year, even though he
didn't find any problems on her exam. It is nice to "see" the actual picture
documented in her chart, and not just hope that the doc that is looking at her
eyes is seeing well himself! BTW, many children have naturally dilated pupils,
but generally the docs will still medically dilate the pupils to ensure they get
a clear view of the entire retina (or as much as is able to be seen!)

Joann, Mom to Cara
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