How To Control Diabetic Retinopathy
How To Control Diabetic Retinopathy – The most serious eye condition associated with diabetes is diabetic retinopathy, which damages the network of blood vessels in the retina. As with many diseases, the key to successful treatment is early detection, and in the case of diabetic retinopathy, this is done with a thorough eye examination. All diabetic patients should be examined at least once a year.
Diabetic retinopathy is usually graded according to how severe it is. The three main steps are described below.
How To Control Diabetic Retinopathy
This condition is more common in people who have had diabetes for a long time and the vision will be normal without vision threat.
Reasons Why You Should Be Aware Of Diabetic Retinopathy
Over time, if the underlying condition of diabetic retinopathy becomes more severe, the macular area may become involved. This is called maculopathy. If this happens, central vision will gradually deteriorate. It may be difficult to recognize people’s faces or see details such as small print. The amount of central vision loss varies from person to person. However, the vision that allows us to move around indoors and outdoors (peripheral vision) will be preserved. Maculopathy is the main cause of vision loss and can occur slowly and gradually. It is rare for someone with maculopathy to lose their vision completely.
As the eye condition progresses, it can sometimes cause blood vessels in the retina to become blocked. If this happens, new blood vessels form in the eye. This is called proliferative diabetic retinopathy and is nature’s way of trying to repair the damage by supplying the retina with new blood. Unfortunately, these new blood vessels are weak. They are also in the wrong place – growing on the surface of the retina and in the vitreous gel. As a result, these blood vessels can bleed more easily and cause a scar to form in the eye. Scars stretch and distort the retina. When the retina is pulled out of position, it is called a retinal detachment. Early detection and treatment are the keys to successful management. If left untreated, diabetic retinopathy can lead to severe vision loss.
During the eye examination, we closely monitor the situation for any changes and give advice and recommendations if necessary. About 425 million people worldwide are suffering from diabetes. 1 This number is expected to increase to 629 million by 2045.1. The longer a person has diabetes, the more likely they are to develop diabetic retinopathy.
Diabetic retinopathy is a complication of diabetes that can lead to vision loss and even blindness. This happens when high blood sugar damages the small blood vessels in the retina, causing them to leak or form hemorrhoids, which eventually impairs vision when it reaches critical levels.
Retina Health Center How Diabetes Effects Eyes
Diabetic macular edema (DME) is an accumulation of fluid in the macula. DME results from diabetic retinopathy and is responsible for about 50% of vision loss related to diabetic retinopathy.
In the early stages of diabetic retinopathy, there are usually no symptoms, allowing the disease to progress until vision is affected. Once symptoms appear, vision loss can be permanent, even with treatment. Symptoms that indicate an advanced stage of diabetic retinopathy include:
The usual standard of care for people with diabetes is an annual diabetes checkup by an ophthalmologist or ophthalmologist. Unfortunately, only half of diabetics see an ophthalmologist for annual retinal examinations.
Teleretinal imaging allows diabetic patients to receive a diabetic retinal examination during their routine exam. Images of the patient’s retina are taken through a retinal camera and read digitally by a remote ophthalmologist. Results can be returned to the patient in as little as one day with the best care delivery models. As a result, compliance rates for diabetic retinal examinations can increase to 90% within one year.
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95% of vision loss can be prevented with timely diagnosis and treatment. 3 Diabetes patients can help manage their disease: 3, 7
To educate your patients and staff, we’ve created a helpful infographic that explains the importance of early diagnosis of diabetic retinopathy.
For more information on performing diabetic retinal examinations in primary care, download the Complete Guide to Performing Diabetic Retinal Examinations in Primary Care book.
2 American Academy of Ophthalmology retina/vitreous panel. Best Practice Model® Guide. Diabetic retinopathy. San Francisco, CA: American Academy of Ophthalmology; 2014. Available at: www.aao.org/ppp. Accessed May 30, 2017.
Lesson: Staging Of Diabetes And Diabetic Retinopathy
4 Monitoring visual status: why patients do or do not comply with practice guidelines; Frank A. Sloan, Derek S. Brown, Emily Strayer Carlisle, Gabriel A. Picone, and Paul P. Lee; HSR: Health Services Research 39:5 (October 2004)
5 Centers for Disease Control and Prevention. Diabetes Report Card 2017. Atlanta, GA: Centers for Disease Control and Prevention, US Department of Health and Human Services; 2018
6 Comparing the Effects of Telemedicine and Conventional Monitoring in Preparing Screening Tests for Diabetic Retinopathy: A Randomized Controlled Trial; Mansberger et al., Telemedicine and eHealth, vol. 19 Issue 12 December 2013
7 American Academy of Ophthalmology. Top Five Steps to Prevent Diabetes https://www.aao.org/eye-health/tips-prevention/top-five-diabetes-steps. Accessed October 4, 2018. Diabetic retinal retinopathy – can it be reversed? December 11, 2018 | By Dr. Raja Rami Reddy Tags: Blindness, Diabetes, Diabetes Mellitus, Diabetic Retinopathy, Glaucoma, Hyperglycemia, Intravitreal Injection, Laser Eye Surgery, Ophthalmologist, Ophthalmology, Retinal Detachment, Seamless Vitrectomy, Vitreous hemorrhage
Managing Diabetic Retinopathy
The light-sensitive layer of retinal cells converts light into electrical signals, which are then sent to the brain, where they are converted into the images we see. A clear network of tiny blood vessels continuously supplies blood to the retina.
Hyperglycemia, a condition where blood glucose levels are high, can affect any part of the body, including the precious eyes. A negative effect of hyperglycemia is poor vision, which is a sign of diabetes.
If the sugar level is not maintained at a normal level, the fogging does not go away. Diabetes mellitus damages the blood vessels that supply blood to the retina of the eye. It can cause blindness.
Diabetic retinopathy is caused by hyperglycemia, or high blood sugar levels. In this condition, the blood vessels in the retina are damaged and the blood swells or leaks. It leads to vision loss if not diagnosed and treated. Diabetic retinopathy usually takes many years to reach a stage where it can lead to total blindness.
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According to World Health Organization (WHO) statistics, diabetic retinopathy is estimated to account for about 5% of blindness cases worldwide. As the incidence of diabetes increases, the chance of people having diabetic retinopathy also increases significantly. The number of diabetic retinopathy patients is expected to increase to about 592 million by 2035.
In countries like India, the prevalence of diabetes has increased dramatically and about 62.4 million people in India have diabetes. A pooled analysis of 22,896 people with diabetes from 35 population-based studies in Australia, the United States, Europe, and Asia showed that the prevalence of diabetic retinopathy was 34.6%.
Diabetic retinopathy usually affects both eyes. Early stages of diabetic retinopathy usually show no signs or symptoms. As the complication progresses, it can lead to:
Blood vessels: Occurs when new blood vessels begin to supply blood to the vitreous fluid. When this complication is minimal, you may see floaters. However, with severe bleeding, blood fills the vitreous cavity and temporarily blocks vision. This complication takes weeks or months to disappear unless the retina is damaged.
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Glaucoma: Diabetic retinopathy causes new blood vessels to grow in the front of the eye. This causes eye strain and disturbances in the normal flow of fluids. Glaucoma can damage the optic nerve and cause permanent blindness.
Retinal detachment: Retinal detachment occurs when damaged blood vessels pull the retina away from the supporting tissue. In this case, you may initially experience floaters and flashes and then experience a complete blurring of vision.
Fortunately, diabetic retinopathy is preventable and treatable. Keeping your blood sugar at an optimal level can help prevent this serious condition. Since uncontrolled sugar can also cause diabetic retinopathy, it is recommended that you get your eyes checked regularly. That way, your eye doctor can diagnose and treat retinal damage as soon as possible. Also, reversing diabetic retinopathy is most possible when it is caught in the early stages of a vision-threatening condition.
Diabetic retinopathy is a serious condition caused by diabetes; Therefore, it requires good management of blood sugar levels. For advanced stages of this eye complication, treatments such as eye injections for acute maculopathy or laser eye surgery are available.
Diabetic Eye Screening
Modern treatment facilities are available in reputed hospitals like Institute of Eye Care. In addition to systemic diabetes management, retinal surgeons here offer laser surgery and intravitreal injections for macular edema, laser surgery for diabetic retinopathy and microincision sutureless vitrectomy for retinal detachment in advanced cases. Your ophthalmologist may also prescribe intraocular steroids and other medications to treat this condition. Vitrectomy is also surgery
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