PT - JOURNAL ARTICLE ED - Hoogwerf, Byron J. AU - Z. Nicholas Zakov TI - Managing diabetic retinopathy DP - 1990 Oct 01 TA - Cleveland Clinic Journal of Medicine PG - 609--612 VI - 57 IP - 7 4099 - http://www.ccjm.org/content/57/7/609.short 4100 - http://www.ccjm.org/content/57/7/609.full SO - Cleve Clin J Med1990 Oct 01; 57 AB - Diabetic retinopathy is a leading cause of visual impairment and blindness. The disease is more likely in patients with insulin-dependent diabetes mellitus, and the incidence is higher in diabetes of long duration. In background diabetic retinopathy, the vascular changes are confined to the retina; in proliferative retinopathy, vessels grow onto the posterior vitreous surface or wedge between the retina and the vitreous. Diagnostic accuracy is more likely with an ophthalmologic consultation. A team approach between the ophthalmologist and the primary care physician is recommended for effective overall management of these patients.