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Retinopathy is the most frequent cause of new blindness and is related to the duration of the diabetes and also to the level of glucose control. In the nonproliferative stage there may no evidence of disease in the retinal vessels or there may be signs of beginning damage, such as yellow deposits. Microaneursyms, or intraretinal hemorrhages may be seen on exam. In this stage the treatment is blood pressure control, blood glucose control, and annual dilated eye exam. In the proliferative stage there is abnormal, fragile retinal vessel growth, vitreous hemorrhage, and vision loss. Common complaints are blurred vision, or spots and cobwebs in the visual field...
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