TY - JOUR T1 - Managing diabetic retinopathy JF - Cleveland Clinic Journal of Medicine JO - Cleve Clin J Med SP - 609 LP - 612 VL - 57 IS - 7 AU - Z. Nicholas Zakov A2 - Hoogwerf, Byron J. Y1 - 1990/10/01 UR - http://www.ccjm.org/content/57/7/609.abstract N2 - 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. ER -