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CLINICAL REVIEW: Richard Donnelly, Alistair M Emslie-Smith, Iain D Gardner, and Andrew D Morris ABC of arterial and venous disease: Vascular complications of diabetes BMJ 2000; 320: 1062-1066 [Full text]

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Diabetic Retinopathy

Tristan Richardson   (19 April 2000)

Diabetic Retinopathy 19 April 2000
Tristan Richardson, Specialist Registrar in Diabetes & Endocrinology Royal Bournemouth Hospital Send response to journal: Re: Diabetic Retinopathy	I was surprised to find in the article on 'Vascular Complications of Diabetes'(15th April), that the example of 'background diabetic retinopathy' was infact showing pre-proliferative disease. There appeared to be a cotton wool spot suggestive of retinal ischaemia in the nasal field. This, in addition to the blot haemorrhages encroaching the macular, also suggested maculopathy. Failure to recognise these changes could lead to complacency on the part of BMJ readers-a situation definately to avoid.