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Question 21

Which of the following is the most likely diagnosis for these funduscopic findings?

   A. Age-related macular degeneration
   B. Cytomegalovirus retinitis
   C. Hypertensive retinopathy
   D. Nonproliferative diabetic retinopathy
   E. Normal findings

Answer and Critique (Correct Answer: D)

Educational Objective: Diagnose nonproliferative (background) diabetic retinopathy.

This funduscopic image shows hard exudates, microaneurysms, and minor hemorrhages, findings that represent the early manifestations of diabetic retinopathy. These early changes associated with diabetic retinopathy are referred to as nonproliferative, or background, diabetic retinopathy. Nonproliferative diabetic retinopathy is not typically associated with decline in visual acuity but is a marker for future development of more significant abnormalities that can lead to visual loss.

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