Proliferative Diabetic Retinopathy as Onset of Type 1 Diabetes

December 2019 in “ Canadian journal of ophthalmology ”

Antonio Basurto, Maria Vittoria Cicinelli, Rosangela Lattanzio, Francesco Bandello

type 1 diabetes mellitus proliferative diabetic retinopathy glycemic control intravitreal anti-vascular endothelial growth factor injections peripheral laser photocoagulation diabetic retinopathy T1DM PDR anti-VEGF injections laser treatment

TLDR A girl with type 1 diabetes developed a serious eye condition very early, suggesting the need for earlier eye checks and that early treatment can work well.

The document described a 15-year-old female with newly diagnosed type 1 diabetes mellitus (T1DM) who developed high-risk proliferative diabetic retinopathy (PDR) just 5 months after diagnosis, an unusually rapid progression. Her condition improved significantly with tight glycemic control, intravitreal anti-vascular endothelial growth factor injections, and peripheral laser photocoagulation. The case highlighted the importance of early and possibly more frequent diabetic retinopathy (DR) screenings in T1DM patients, especially those with poor metabolic control, and confirmed the effectiveness of current treatments for PDR.

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