Peter H. Scanlon & Stephen Aldington 
A Practical Manual of Diabetic Retinopathy Management 

Another title in the award winning ‘Practical Manual’
series from Wiley-Blackwell, following on from Edmonds, Foster and
Sanders’ A Practical Manual of Diabetic
Foot Care – winner of the British Medical
Association’s Medical Book of the Year Award 2004.

This practical clinical manual covers the diagnosis, treatment
and long-term management of eye problems in people with diabetes,
with a strong emphasis on the importance of early diagnosis.

Edited and authored by world-renowned experts from leading
centres, A Practical Manual of Diabetic
Retinopathy Management presents evidence-based guidance
relevant for a global audience.

* High quality photographs uniquely illustrate the lesions that
occur in diabetic retinopathy and diagrams show the surgical
techniques involved in vitreoretinal surgery for advanced stages of
the disease

* Numerous real life case histories demonstrate the scenarios
that one is likely to come across in a clinic treating patients
with diabetic retinopathy

* The best colour guide to the spectrum of changes that occur in
diabetic retinopathy

This bookis a richly illustrated manual on the management of all
stages of diabetic retinopathy, ideal for diabetologists, general
endocrinologists who see patients with diabetes, retinal screeners,
ophthalmologists and any other healthcare professionals involved in
the care and management of diabetes.

Table of Content

Acknowledgements vii

Prologue ix
Peter H. Scanlon

1 Introduction 1
Peter H. Scanlon

2 Diabetes 17
David R. Matthews & Peter H. Scanlon

3 Lesions and classifications of diabetic retinopathy 30
Peter H. Scanlon

4 Screening for diabetic retinopathy 46
Peter H. Scanlon

5 Stage R0: the normal eye 58
Stephen J. Aldington

6 Stage M1: maculopathy 70
Peter H. Scanlon

7 Stage R1: mild non-proliferative diabetic retinopathy (background diabetic retinopathy) 99
Peter H. Scanlon

8 Stage R2: moderate and severe non-proliferative diabetic retinopathy (preproliferative diabetic retinopathy) 104
Peter H. Scanlon

9 Stage R3: proliferative diabetic retinopathy and advanced diabetic retinopathy 109
Peter H. Scanlon

10 Stage R3 with M1: proliferative diabetic retinopathy with maculopathy 133
Peter H. Scanlon

11 The stable treated eye 137
Peter H. Scanlon

12 The surgical approach to the diabetic eye 144
Charles P. Wilkinson

13 Pregnancy and the diabetic eye 151
Peter H. Scanlon

14 Low vision and blindness from diabetic retinopathy 160
Peter H. Scanlon

15 Future advances in the management of diabetic retinopathy 171
Peter H. Scanlon

16 Other retinal conditions that are more frequent in diabetes 178
Stephen J. Aldington & Peter H. Scanlon

17 Conditions with appearances similar to diabetic retinopathy 194
Stephen J. Aldington & Peter H. Scanlon

Glossary 203

Index 207

About the author

Peter H Scanlon MD

Consultant Ophthalmologist, Gloucestershire and Oxford Eye
Units

Lecturer, Harris Manchester College

University of Oxford

Oxford, UK

Honorary Associate Clinical Professor

Institute of Clinical Education

University of Warwick, UK



Charles P. Wilkinson MD

Professor of Ophthalmology, Johns Hopkins University

Chairman, Department of Ophthalmology, Greater Baltimore Medical
Center

Baltimore, USA

Stephen J Aldington

Gloucestershire Education and Research Development
Manager

Cheltenham, UK

Honorary Associate Professor

Institute of Clinical Education

University of Warwick, UK



David R Matthews MA (Oxon), DPhil, BM, BCh, FRCP

Professor of Diabetic Medicine, University of Oxford;

Chairman, Oxford Centre for Diabetes Endocrinology &
Metabolism

Oxford, UK