Abstract:

The rising prevalence of childhood type 1 diabetes and type 2 diabetes increases the number of children and adolescents at risk of visual loss due to the presence of diabetic retinopathy (DR). We report herein a case of a young adult who presented to the emergency department with sudden vision loss in both eyes. She had been diagnosed with type 1 diabetes mellitus (T1DM) five years ago. Patient with severe NPDR was monitored using OCT (optical coherence tomography) which revealed peri-papillary cotton wool spots, intraretinal haemorrhages, and retinal microaneurysms (MA). The patient was urgently hospitalized and prescribed to be under insulin therapy. DR was developed and progressed to severe NPDR. The investigation continued through multiple OCTs. Finally, she was prescribed to be under laser therapy with multiple sessions of PRP (Peripheral Retinal laser Photocoagulation). Subsequently, the macular edema resolved and the patient was satisfied with her vision after six sessions of PRP. Literature collected from various countries stated that diabetic retinopathy can be successfully treated with laser therapy. We discuss the importance of recognizing and treating the patient with laser therapy. There is a need for further research on laser therapy in NPDR among young-onset diabetic mellitus. 

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