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Author Subject: Diabetic Retinopathy
Author ppearson Diabetic Retinopathy
Nov 30, 2007 20:12:27

During fundus examination of a patient with BDR how is it possible to distinguish between microaneurysms and dot haemorrhages? and is it clinically necessary to do so?!


Author Stephen Meynell RE: Diabetic Retinopathy
Dec 05, 2007 19:28:26

Dot haemorrhages can be larger and associated with ruptured microaneurisms. However, they can also be associated with (for example) hypertension. They resolve within a few months. Microaneurisms are tiny and are associated with diabetes.

It is clinically necessary as the dot haemorrhages are not exclusive to diabetes.


Author Tim Hunter RE: Diabetic Retinopathy
Dec 06, 2007 07:47:06

You should be able to distinguish between the two in most cases as anatomically a microaneurysm is a localised dilatation (bulging) of the blood vessel (usually and artery) and should therefore be visibly attached to a blood vessel. Whereas a haemorrhage is a leakage of blood from a blood vessel and is therefore not necessarily attached to it.


Author ppearson RE: Diabetic Retinopathy
Dec 07, 2007 16:06:51

That helps, Thanks.