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What is In children with type I DM when is ophthalmologic evaluation indicated - and explain in detail?
Ans. is 'd' i.e., After 5 years o In IDDM, initial retinal examination should be done 5 yrs after the onset of disease as the sight threatening retinopathy usually does not appear in the first 5 yrs & thereafter, these should be screened annualy by retina expes. o For NIDDM, initial examination should be done right from the time of diagnosis, because upto 21% patients have retinopathy at the time of diagnosis & thereafter annually. o Diabetic women who become pregnant, should have dilated eye examination in the first trimester & close follow up throughout the pregnancy.