What is included in the long-term monitoring of hemoglobinopathy retinopathy?

Updated: Sep 03, 2019
  • Author: Brian A Phillpotts, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Answer

Monitor medication dose and adverse effects.

Enroll patient in local sickle cell clinic.

Ophthalmologic follow-up care is determined by the proliferative stage.

Stages I and II: Follow-up care is performed every 6-12 months.

Stages III and IV: Follow-up care is usually within 1 week after laser surgery to rule out retinal detachment. After the first follow-up visit, monthly follow-up visits are advocated to confirm and monitor the regression of the neovascularization. Insufficient treatment requires further laser treatments at the time of follow-up care.

Stage V: Follow-up care is based on retinal specialist consultation.


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