Make a handrawn easily reproducible diagram of diabetic retinopathy for my opthalmology theory exam

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Diabetic Retinopathy Hand-drawn Diagram
Here's your hand-drawn style diagram covering everything you need for an ophthalmology theory exam. Here's a quick orientation:

Progression (left → right):
StageKey Features
Mild NPDRMicroaneurysms only — earliest change
Moderate NPDR+ Dot/blot haemorrhages, hard exudates, cotton wool spots
Severe NPDR4-2-1 rule: >20 haem in all 4Q / venous beading in 2Q / IRMA in 1Q
PDRNVD / NVE (VEGF-driven) → vitreous haemorrhage, tractional RD
Diabetic Maculopathy (bottom strip) — can occur at any stage:
  • Clinically significant macular oedema (CSME)
  • Circinate hard exudate rings
  • Macular ischaemia
  • Rx: Anti-VEGF (first-line), focal laser, vitrectomy

Tips to reproduce in exams:
  • Draw 3–4 simple circles representing fundus views, left to right
  • Add features progressively (more dots, blot haems, CWS, then chaotic vessels)
  • Box off the 4-2-1 rule — examiners love that you know the threshold for severe NPDR
  • Always add maculopathy as a separate horizontal note at the bottom
Sources: Kanski's Clinical Ophthalmology 10th Ed.; Wills Eye Manual
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