• Benefits of Diabetic Retinopathy Treatment
  • With and Without Diabetic Retinopathy
  • Diabetic Retinopathy Surgery to Save Your Eyesight

Diabetic Retinopathy Treatment

  • Blurred vision and slow vision loss over time
  • Floaters
  • Shadows or missing areas of vision
  • Trouble seeing at night
We cannot prevent diabetes in spite of lifestyle changes & healthier living but we can certainly prevent vision loss due to diabetic retinopathy. High levels of blood sugar can lead to early Cataract development and or can lead to a condition known as Diabetic Retinopathy.
Diabetic Retinopathy:
Nine out of ten people with diabetes will over a period of time eventually develop a complication that affects the eyes known as diabetic retinopathy. This condition affects the retinal blood vessels and can lead to blindness, however if diagnosed and treated early much of this vision loss can be prevented.
How does diabetic retinopathy damage the retina ?

The retina is like the film in a camera.  It is the seeing tissue of the eye.  When the focused light hits the retina, a picture is created and sent to the brain through the optic nerve (the nerve of the eye), thus giving us vision.

 

Retina has two parts: The peripheral retina and central Macula. Macula being the central part is capable of producing sharp and clear image. These clear images enable us to read, write and do all fine work.

 
 
Diabetic retinopathy occurs when diabetes damages the tiny blood vessels in the retina. At this point, most people do not notice any changes in their vision. Some people develop a condition called macular edema. It occurs when the blood vessels leak fluid and lipids onto the macula, (The central part of the retina that lets us see in detail). The fluid makes the macula swell, thus blurring the vision.
Normal Retina before Diabetic   Early Diabetic Retinopathy   Bleeding on Retina
Normal retina
 
Early Diabetic retinopathy
 
Bleeding on Retina
As the disease progresses, it enters its advanced, or proliferative stage. Fragile, new blood vessels grow along retina and the clear, gel-like vitreous that fills the inside of the eye. Without timely treatment, these new blood vessels can bleed , cloud vision and destroy the retina.
Symptons ?
Most often, diabetic retinopathy has no symptoms until the damage to your eyes is severe. Symptoms of diabetic retinopathy include:
Clear retina after Diabetic RetinopathyNormal retina forming clear image
 
Blurred Retina in case of Diabetic RetinopathyBlurred retina in case of Diabetic retinopathy

 
How is it diagnosed ?

By detailed dilated eye examination including visual acuity test, slit lamp examination, fundus examination and by doing specialized tests like Fluorescein Angiography and OCT (Optical Coherence Tomography).

Treatment:

For diabetic retinopathy that is threatening or affecting your sight, the main treatments are:

  • Laser Treatment
  • To treat the growth of new blood vessels at the back of the eye (retina) in cases of proliferative diabetic retinopathy, and to stabilise some cases of maculopathy.Focal laser photocoagulation is used to treat macular edema.Scatter laser treatment or panretinal photocoagulation treats a large area of your retina. Often two or more sessions are needed.

  • Eye Injections
  • To treat severe maculopathy that's threatening your sight

  • Eye Surgery
  • to remove blood or scar tissue from the eye if laser treatment isn't possible because retinopathy is too advanced

To prevent diabetic retinopathy:

  • Keep tight control of your blood sugar (glucose), blood pressure, and cholesterol levels
  • Stop smoking
  • Regular eye check up by ophthalmologist
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