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This exam should include dilated fundoscopy, optic nerve assessment, and documentation of any pre-existing diabetic retinopathy or risk factors for NAION
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Patients are advised to: Maintain adequate hydration by drinking plenty of water throughout the day, which helps the kidneys excrete uric acid more effectively Limit intake of purine-rich foods such as red meat, organ meats, certain seafood (anchovies, sardines, mussels), and high-fructose corn syrup Moderate alcohol consumption , particularly beer and spirits, as alcohol can increase uric acid production and reduce its excretion Achieve and maintain a healthy weight through balanced nutrition and regular physical activity, as obesity is strongly associated with hyperuricaemia Avoid rapid weight loss , which can paradoxically trigger acute gout attacks by temporarily raising uric acid levels Monitoring is important for patients with known hyperuricaemia or gout
