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TITLE:

MANIFESTATION TRAITS OF FUNDUS FLUORESCENCE ANGIOGRAPHY IN DIAGNOSIS OF DIABETIC RETINOPAHTY

AUTHORS:

Dr Hafiz Muhammed Wasim Murtaza, Dr Muhammad Tabish Nisar, Dr Hammad Farooq

ABSTRACT:

Objective: The aim of this research work is to interrogate the manifestation traits of Fundus Fluorescence Angiography and values of this procedure in the diagnosis of diabetic retinopathy through its comparison with the procedure of direct ophthalmoscopy. Methodology: 250 patients (Five hundred eyes) who were under suspicion of having diabetic retinopathy and got admission in Allied Hospital Faisalabad from March 2017 to January 2019 were the part of this research work. All the patients had to undergo fundus fluorescence angiography and direct ophthalmoscopy. We summarized the manifestation traits of fundus fluorescence angiography in detection of diabetic retinopathy. Then, we provide the comparison of the two examination procedures. Results: In detection with the procedure of direct ophthalmoscopy, three hundred and seventy-five eyes out of five hundred eyes were present with diabetic retinopathy (75.0%); Seventy-four eyes were at Stage-1, eighty-eight eyes were at Satge-2, ninety-two eyes were at Stage-3, eighty-three eyes in Stage-4, twenty-eight eyes at Stage-5 and ten eyes were in Satge-6. In diagnosis with the method of fundus fluorescence angiography, four hundred and sixty-five eyes out of total five hundred eyes were present with diabetic retinopathy (93.0%); ninety-four eyes were at Satge-1, one hundred and ten eyes at Stage-2, one hundred and twelve eyes at Satge-3, ninety-two eyes were at Stage-4, forty-one eyes at Sate-5 and sixteen eyes were at Stage-6. The rate of detection of diabetic retinopathy with the utilization of fundus fluorescence angiography was much high as compared to the detection rate with the utilization of direct ophthalmoscopy (P < 0.050). Fundus Fluorescence Angiography discovered that three hundred and sixteen eyes were present as non-proliferative retinopathy (67.960%), seventy-five eyes were present with pre-proliferative abrasions (16.130%), one hundred and forty-nine eyes were present with proliferative lesions (32.040%), one hundred and thirty-five eyes were present with diabetic maculopathy (29.030%) and thirty-one eyes were present with the Diabetic Optic Disc Lesions (6.670%).Conclusion: The rate of detection of diabetic retinopathy with the utilization of fundus fluorescence angiography is much high as compared to the detection rate by direct ophthalmoscopy. Fundus Fluorescence Angiography has the ability to determine the clinical stage precisely. Keywords: Diabetic Optic Disc Lesions, Fundus Fluorescence Angiography, Diabetic Retinopathy, Rate of Detection, Lesions, Abrasions.

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