An elderly woman presented with gradual painless diminution of vision. The fundus picture is shown below. What is the diagnosis.
Hard Exudates in Diabetic Retinopathy
Flame shaped haemorrhages in Hypertensive Retinopathy
Soft Exudates in Hypertensive Retinopathy
Answer < A: Hard Exudates in Diabetic Retinopathy
- The deposition of hard macular exudates is a sight threatening consequence of macular edema in patients with diabetes mellitus.
- Visual impairment has been correlated with the deposition of hard foveal exudates which are one of the most common and early clinical signs of diabetic retinopathy.
- Hard exudates are lipid and lipoprotein deposits and appear as white, yellowish or waxy lesions situated mainly in the outer plexiform layer of the retina.
- Large deposits of hard exudates increase the risk of developing subretinal fibrosis, which is one of the most devastating sequelae of diabetic maculopathy