EconomyEnglish7.2/10 · BronzeCSV file availableUpdated 4 Oct 2026

ICMR Standard Treatment Workflow (STW) DIABETIC RETINOPATHY - Question and Answer Dataset

Name: ICMR Standard Treatment Workflow (STW) DIABETIC RETINOPATHY - Question and Answer Dataset
Creator: icmr.gov.in
Keywords: Economy, question-answering, extractive-qa, diabetic-retinopathy-dr, standard-treatment-workflow-stw, icd-10-e11-31, preliminary-screening, definitive-diagnosis, slit-lamp-bio-microscopy, ultrasound-b-scan, indirect-ophthalmoscopy, fundus-photography

#question-answering#extractive-qa#diabetic-retinopathy-dr#standard-treatment-workflow-stw#icd-10-e11-31#preliminary-screening#definitive-diagnosis#slit-lamp-bio-microscopy#ultrasound-b-scan#indirect-ophthalmoscopy#fundus-photography

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File size: CSV
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About this dataset

13 extractive question-and-answer pairs built from ICMR Standard Treatment Workflow (STW) DIABETIC RETINOPATHY, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include diabetic retinopathy (dr), standard treatment workflow (stw), icd-10-e11.31, preliminary screening, definitive diagnosis, slit lamp bio microscopy, ultrasound-b scan, indirect ophthalmoscopy. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. Question types in the export: 5 definition, 5 list, 2 factual, 1 comparison. 11 of the 13 pairs (84.6%) ask explanatory questions; the remaining 2 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.

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First 10 of 13 rows

Sample rows from ICMR Standard Treatment Workflow (STW) DIABETIC RETINOPATHY - Question and Answer Dataset
question	answer	context	answer_start	question_type	knowledge_quality_score	source_document	source_quote	source_page	source_location	confidence	validation_status
What does FFA stand for in the context of diabetic retinopathy?	Fundus fluorescein angiography	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	452	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	1	page=1,block=23	0.700	valid
What does IOP stand for in the context of diabetic retinopathy?	Intra ocular pressure	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	488	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	1	page=1,block=23
What does OCT stand for in the context of diabetic retinopathy?	Optical coherence tomography	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	371	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	1	page=1,block=23
What does OCTA stand for in the context of diabetic retinopathy?	Optical coherence tomography angiography	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	406	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	1
What is the meaning of the abbreviation BCVA in the context of diabetic retinopathy?	Best corrected visual acuity	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	309	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	1
What is one of the signs that distinguishes the condition described from proliferative retinopathy?	No signs of proliferative retinopathy	More than just micro aneurysms, but less than severe non proliferative DR Any of the following: • Intra-retinal haemorrhages (≥20 in each quadrant) • Definite venous beading (in 2 quadrants) • Intra retinal micro vascular abnormalities (in 1 quadrant) and • No signs of proliferative retinopathy Proliferative	258	comparison	0.920	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	More than just micro aneurysms, but less than severe non proliferative DR Any of the following: • Intra-retinal haemorrhages (≥20 in each quadrant) • Definite venous beading (in 2 quadrants) • Intra retinal micro vascular abnormalities (in 1 quadrant) and • No signs of proliferative retinopathy Proliferative	1	page=1,block=49	0.700	valid
What are the indications for surgery in diabetic retinopathy?	• Sudden vision loss • Clinically recognizable macular edema • Rubeosis iridis • Proliferative DR	INDICATION FOR SURGERY • Sudden vision loss • Clinically recognizable macular edema • Rubeosis iridis • Proliferative DR FITNESS FOR SURGERY: • General health stable • BP ≤ 150/90mm Hg • Blood sugar (mg/dl) FBS < 140, PPBS < 180 / RBS < 200 INTERVENTION: Pre-op topical broad spectrum antibiotics, QID for 1-3 days SURGICAL PREPARATION: Periocular cleaning with 10% povidone iodine followed by instillation of 5% povidone iodine in conjunctival sac, rinse after 3 minutes, wipe, aseptic precautions, Sterile surgical eye drape QUALITY ASSESSMENT PARAMETERS • Patient identifier, age/ gender • Grade of DR • Pre operative vision, diagnosis • Follow up vision INDICATIONS FOR URGENT REFERRAL • Vision loss • Hard exudates • Haemorrhages • Non - dilating pupil • Blurred disc margins • No view of fundus • Absent Foveal Reflex	23	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	INDICATION FOR SURGERY • Sudden vision loss • Clinically recognizable macular edema • Rubeosis iridis • Proliferative DR FITNESS FOR SURGERY: • General health stable • BP ≤ 150/90mm Hg • Blood sugar (mg/dl) FBS < 140, PPBS < 180 / RBS < 200 INTERVENTION: Pre-op topical broad spectrum antibiotics, QID for 1-3 days SURGICAL PREPARATION: Periocular cleaning with 10% povidone iodine followed by instillation of 5% povidone iodine in conjunctival sac, rinse after 3 minutes, wipe, aseptic precautions, Sterile surgical eye drape QUALITY ASSESSMENT PARAMETERS • Patient identifier, age/ gender • Grade
What diagnostic methods are considered essential for retinal examination?	Slit lamp bio microscopy (retinal exam) , ultrasound-B scan (when fundus not visible)	OPTIONAL OCT, FFA, OCTA if indicated ESSENTIAL Slit lamp bio microscopy (retinal exam) , ultrasound-B scan (when fundus not visible) DESIRABLE Indirect ophthalmoscopy Fundus photography MANAGEMENT PHC/PRIMARY LEVEL • Detailed history & examination • Refraction for BCVA • Preliminary diagnosis • Referral to Ophthalmologist (as per Table no. 1 and 2) • Counselling regarding metabolic control • Preventive advice, counselling and regular follow up SECONDARY LEVEL • Refraction for BCVA • Detailed work up including indirect ophthalmoscopy • Diagnose, classify, advice (as per Table no. 1 and 2) • Point to point guided referral • Ensure follow up and compliance • Counselling regarding metabolic control and systemic comorbidities (hypertension, and nephropathy) TERTIARY LEVEL • Diagnose, classify, advice (as per Table no. 1 and 2) • Intravitreal injections/laser photocoagulation/ vitreoretinal surgery • Ensure postoperative follow up and compliance including collaboration with district hospital ophthalmologists • Counselling regarding metabolic control	47	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf
What treatments are provided at the tertiary level for diabetic retinopathy?	• Intravitreal injections/laser photocoagulation/ vitreoretinal surgery	OPTIONAL OCT, FFA, OCTA if indicated ESSENTIAL Slit lamp bio microscopy (retinal exam) , ultrasound-B scan (when fundus not visible) DESIRABLE Indirect ophthalmoscopy Fundus photography MANAGEMENT PHC/PRIMARY LEVEL • Detailed history & examination • Refraction for BCVA • Preliminary diagnosis • Referral to Ophthalmologist (as per Table no. 1 and 2) • Counselling regarding metabolic control • Preventive advice, counselling and regular follow up SECONDARY LEVEL • Refraction for BCVA • Detailed work up including indirect ophthalmoscopy • Diagnose, classify, advice (as per Table no. 1 and 2) • Point to point guided referral • Ensure follow up and compliance • Counselling regarding metabolic control and systemic comorbidities (hypertension, and nephropathy) TERTIARY LEVEL • Diagnose, classify, advice (as per Table no. 1 and 2) • Intravitreal injections/laser photocoagulation/ vitreoretinal surgery • Ensure postoperative follow up and compliance including collaboration with district hospital ophthalmologists • Counselling regarding metabolic control	834	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf
What diagnostic methods are considered desirable for retinal examination?	Indirect ophthalmoscopy Fundus photography	OPTIONAL OCT, FFA, OCTA if indicated ESSENTIAL Slit lamp bio microscopy (retinal exam) , ultrasound-B scan (when fundus not visible) DESIRABLE Indirect ophthalmoscopy Fundus photography MANAGEMENT PHC/PRIMARY LEVEL • Detailed history & examination • Refraction for BCVA • Preliminary diagnosis • Referral to Ophthalmologist (as per Table no. 1 and 2) • Counselling regarding metabolic control • Preventive advice, counselling and regular follow up SECONDARY LEVEL • Refraction for BCVA • Detailed work up including indirect ophthalmoscopy • Diagnose, classify, advice (as per Table no. 1 and 2) • Point to point guided referral • Ensure follow up and compliance • Counselling regarding metabolic control and systemic comorbidities (hypertension, and nephropathy) TERTIARY LEVEL • Diagnose, classify, advice (as per Table no. 1 and 2) • Intravitreal injections/laser photocoagulation/ vitreoretinal surgery • Ensure postoperative follow up and compliance including collaboration with district hospital ophthalmologists • Counselling regarding metabolic control	143	list	0.740	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	OPTIONAL OCT, FFA, OCTA if indicated ESSENTIAL Slit lamp bio microscopy (retinal exam) , ultrasound-B scan (when fundus not visible) DESIRABLE Indirect ophthalmoscopy Fundus photography MANAGEMENT PHC/PRIMARY LEVEL • Detailed history & examination • Refraction for BCVA • Preliminary diagnosis • Referral to Ophthalmologist (as per Table no.

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Details

Category: Economy
Language: English
Format: CSV
Rows: 13
File size: 17.0 KB
Licence: Not specified
Source: icmr.gov.in
DesiData Scale™: 7.2 / 10 · Bronze

Preview

First 10 of 13 rows

Sample rows from ICMR Standard Treatment Workflow (STW) DIABETIC RETINOPATHY - Question and Answer Dataset
question	answer	context	answer_start	question_type	knowledge_quality_score	source_document	source_quote	source_page	source_location	confidence	validation_status
What does FFA stand for in the context of diabetic retinopathy?	Fundus fluorescein angiography	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	452	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	1	page=1,block=23	0.700	valid
What does IOP stand for in the context of diabetic retinopathy?	Intra ocular pressure	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	488	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	1	page=1,block=23
What does OCT stand for in the context of diabetic retinopathy?	Optical coherence tomography	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	371	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	1	page=1,block=23
What does OCTA stand for in the context of diabetic retinopathy?	Optical coherence tomography angiography	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	406	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	1
What is the meaning of the abbreviation BCVA in the context of diabetic retinopathy?	Best corrected visual acuity	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	309	definition	0.940	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	Proliferative Diabetic Retinopathy Microaneurysm Mild Diabetic retinopathy (Mild NPDR) Soft exudate Intraretinal hemorrhages Hard exudates Moderate NPDR Severe NPDR with severe macular edema Hard exudates and edema within foveal centre Proliferative Diabetic Retinopathy- Advanced Premacular hemorrhage BCVA: Best corrected visual acuity DME: Diabetic macular edema OCT: Optical coherence tomography OCTA: Optical coherence tomography angiography FFA: Fundus fluorescein angiography IOP: Intra ocular pressure	1
What is one of the signs that distinguishes the condition described from proliferative retinopathy?	No signs of proliferative retinopathy	More than just micro aneurysms, but less than severe non proliferative DR Any of the following: • Intra-retinal haemorrhages (≥20 in each quadrant) • Definite venous beading (in 2 quadrants) • Intra retinal micro vascular abnormalities (in 1 quadrant) and • No signs of proliferative retinopathy Proliferative	258	comparison	0.920	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	More than just micro aneurysms, but less than severe non proliferative DR Any of the following: • Intra-retinal haemorrhages (≥20 in each quadrant) • Definite venous beading (in 2 quadrants) • Intra retinal micro vascular abnormalities (in 1 quadrant) and • No signs of proliferative retinopathy Proliferative	1	page=1,block=49	0.700	valid
What are the indications for surgery in diabetic retinopathy?	• Sudden vision loss • Clinically recognizable macular edema • Rubeosis iridis • Proliferative DR	INDICATION FOR SURGERY • Sudden vision loss • Clinically recognizable macular edema • Rubeosis iridis • Proliferative DR FITNESS FOR SURGERY: • General health stable • BP ≤ 150/90mm Hg • Blood sugar (mg/dl) FBS < 140, PPBS < 180 / RBS < 200 INTERVENTION: Pre-op topical broad spectrum antibiotics, QID for 1-3 days SURGICAL PREPARATION: Periocular cleaning with 10% povidone iodine followed by instillation of 5% povidone iodine in conjunctival sac, rinse after 3 minutes, wipe, aseptic precautions, Sterile surgical eye drape QUALITY ASSESSMENT PARAMETERS • Patient identifier, age/ gender • Grade of DR • Pre operative vision, diagnosis • Follow up vision INDICATIONS FOR URGENT REFERRAL • Vision loss • Hard exudates • Haemorrhages • Non - dilating pupil • Blurred disc margins • No view of fundus • Absent Foveal Reflex	23	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	INDICATION FOR SURGERY • Sudden vision loss • Clinically recognizable macular edema • Rubeosis iridis • Proliferative DR FITNESS FOR SURGERY: • General health stable • BP ≤ 150/90mm Hg • Blood sugar (mg/dl) FBS < 140, PPBS < 180 / RBS < 200 INTERVENTION: Pre-op topical broad spectrum antibiotics, QID for 1-3 days SURGICAL PREPARATION: Periocular cleaning with 10% povidone iodine followed by instillation of 5% povidone iodine in conjunctival sac, rinse after 3 minutes, wipe, aseptic precautions, Sterile surgical eye drape QUALITY ASSESSMENT PARAMETERS • Patient identifier, age/ gender • Grade
What diagnostic methods are considered essential for retinal examination?	Slit lamp bio microscopy (retinal exam) , ultrasound-B scan (when fundus not visible)	OPTIONAL OCT, FFA, OCTA if indicated ESSENTIAL Slit lamp bio microscopy (retinal exam) , ultrasound-B scan (when fundus not visible) DESIRABLE Indirect ophthalmoscopy Fundus photography MANAGEMENT PHC/PRIMARY LEVEL • Detailed history & examination • Refraction for BCVA • Preliminary diagnosis • Referral to Ophthalmologist (as per Table no. 1 and 2) • Counselling regarding metabolic control • Preventive advice, counselling and regular follow up SECONDARY LEVEL • Refraction for BCVA • Detailed work up including indirect ophthalmoscopy • Diagnose, classify, advice (as per Table no. 1 and 2) • Point to point guided referral • Ensure follow up and compliance • Counselling regarding metabolic control and systemic comorbidities (hypertension, and nephropathy) TERTIARY LEVEL • Diagnose, classify, advice (as per Table no. 1 and 2) • Intravitreal injections/laser photocoagulation/ vitreoretinal surgery • Ensure postoperative follow up and compliance including collaboration with district hospital ophthalmologists • Counselling regarding metabolic control	47	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf
What treatments are provided at the tertiary level for diabetic retinopathy?	• Intravitreal injections/laser photocoagulation/ vitreoretinal surgery	OPTIONAL OCT, FFA, OCTA if indicated ESSENTIAL Slit lamp bio microscopy (retinal exam) , ultrasound-B scan (when fundus not visible) DESIRABLE Indirect ophthalmoscopy Fundus photography MANAGEMENT PHC/PRIMARY LEVEL • Detailed history & examination • Refraction for BCVA • Preliminary diagnosis • Referral to Ophthalmologist (as per Table no. 1 and 2) • Counselling regarding metabolic control • Preventive advice, counselling and regular follow up SECONDARY LEVEL • Refraction for BCVA • Detailed work up including indirect ophthalmoscopy • Diagnose, classify, advice (as per Table no. 1 and 2) • Point to point guided referral • Ensure follow up and compliance • Counselling regarding metabolic control and systemic comorbidities (hypertension, and nephropathy) TERTIARY LEVEL • Diagnose, classify, advice (as per Table no. 1 and 2) • Intravitreal injections/laser photocoagulation/ vitreoretinal surgery • Ensure postoperative follow up and compliance including collaboration with district hospital ophthalmologists • Counselling regarding metabolic control	834	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf
What diagnostic methods are considered desirable for retinal examination?	Indirect ophthalmoscopy Fundus photography	OPTIONAL OCT, FFA, OCTA if indicated ESSENTIAL Slit lamp bio microscopy (retinal exam) , ultrasound-B scan (when fundus not visible) DESIRABLE Indirect ophthalmoscopy Fundus photography MANAGEMENT PHC/PRIMARY LEVEL • Detailed history & examination • Refraction for BCVA • Preliminary diagnosis • Referral to Ophthalmologist (as per Table no. 1 and 2) • Counselling regarding metabolic control • Preventive advice, counselling and regular follow up SECONDARY LEVEL • Refraction for BCVA • Detailed work up including indirect ophthalmoscopy • Diagnose, classify, advice (as per Table no. 1 and 2) • Point to point guided referral • Ensure follow up and compliance • Counselling regarding metabolic control and systemic comorbidities (hypertension, and nephropathy) TERTIARY LEVEL • Diagnose, classify, advice (as per Table no. 1 and 2) • Intravitreal injections/laser photocoagulation/ vitreoretinal surgery • Ensure postoperative follow up and compliance including collaboration with district hospital ophthalmologists • Counselling regarding metabolic control	143	list	0.740	https://www.icmr.gov.in/icmrobject/uploads/STWs/1726569102_diabetic_retinopathy.pdf	OPTIONAL OCT, FFA, OCTA if indicated ESSENTIAL Slit lamp bio microscopy (retinal exam) , ultrasound-B scan (when fundus not visible) DESIRABLE Indirect ophthalmoscopy Fundus photography MANAGEMENT PHC/PRIMARY LEVEL • Detailed history & examination • Refraction for BCVA • Preliminary diagnosis • Referral to Ophthalmologist (as per Table no.

Read straight from the file — download or use the API URL for the full dataset.