Comité de Oftalmopatía. ¿Es la patología oftálmica en diabetes una herramienta útil para categorizar el riesgo cardiovascular?
DOI:
https://doi.org/10.47196/diab.v58i1Sup.766Palabras clave:
riesgo cardiovascular, retinopatía, edema macularResumen
Actualmente nadie duda que la aparición de complicaciones microvasculares en la diabetes mellitus (DM) está relacionada con la hiperglucemia crónica. En la recientemente publicada guía de la European Society of Cardiology (ESC) 2023 para el manejo de la enfermedad cardiovascular (ECV) en DM, se establece nuevamente que la presencia de la retinopatía diabética (RD) junto con la nefropatía y la neuropatía colocan al paciente en categoría de muy alto riesgo cardiovascular. Categorizar correctamente el riesgo cardiovascular del paciente nos permite prevenir y/o retrasar eventos cardiovasculares mayores, y tomar precauciones adecuadas frente a intervenciones quirúrgicas para evitar complicaciones intra o perioperatorias. La recomendación de este Comité, previo al inicio de la medicación para la DM, es realizar una evaluación oftalmológica completa que incluya fondo de ojo y otros estudios oftalmológicos, como la retinofluoresceinografía y la tomografía de coherencia óptica, para la mejor categorización del riesgo de la persona con DM y la elección adecuada de la medicación a iniciar para el control glucémico.
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