Role Of Colour Doppler Imaging In Early Diagnosis Of Diabetic Retinopathy

Authors

Karthik Krishna Ramakrishnan, Assistant Professor, Anusha Palani Swamy, Junior Resident, Prashant Moorthy, Assistant Professor, Praveen K. Sharma, Associate Professor, Yuvaraj Muralidharan, Associate Professor, Paarthipan Natarajan, Professor, Seena Cheppala Rajan, Professor and Head
Department of Radio-Diagnosis; Saveetha Medical College and Hospital, Saveetha University, Thandalam, Chennai, Tamil Nadu, India.

Abstract

Diabetic retinopathy is the most common cause of vision loss among people with diabetes and a leading cause of blindness among working-age adults in India. It is a form of microangiopathy, and is the most common ocular complication seen in diabetic patients. Diabetic retinopathy progresses from non proliferative to proliferative retinopathy. The non proliferative retinopathy is the milder form and it is reversible. As the progression to proliferative retinopathy happens, the patients are symptomatic and become irreversible. Vascular changes and subsequent ocular hemodynamic changes are critical events in the pathogenesis of diabetic retinopathy. Colour doppler imaging is one of the most widely used and well-established techniques for assessing ocular blood flow velocities in the retro bulbar vessels. This is a non-invasive, painless imaging method with highly reproducibility. Estimation of orbital blood flow velocity from colour doppler imaging of the ophthalmic artery and central retinal artery is a technique offering great potential for the identification of early retinopathy in diabetic patients.