What is Diabetic Retinopathy?
Understanding About
Diabetic Retinopathy
Diabetic retinopathy is a complication of diabetes that damages the blood vessels in the retina, the light-sensitive tissue at the back of the eye.
Initially, it may cause no symptoms or only mild vision issues, but if left untreated, it can result in blindness.
This condition can affect individuals with either type 1 or type 2 diabetes, and the risk increases with the duration and poor control of blood sugar levels.
Symptoms
Treatments
Precautions
Symptoms
Diabetic Retinopathy symptoms include
- Floaters, which are spots or dark strings floating in your vision
- Blurred vision
- Fluctuating vision
- Dark or empty areas in your vision
- Vision loss
Treatments
Treatments for Diabetic Retinopathy
- Laser treatment (photocoagulation): Laser therapy can seal or destroy abnormal blood vessels and reduce the risk of bleeding into the vitreous.
- Intravitreal injections: Medications injected into the vitreous can help reduce swelling and inflammation, and inhibit the growth of abnormal blood vessels.
- Vitrectomy: In severe cases of vitreous hemorrhage or retinal detachment, surgery may be necessary to remove blood and scar tissue from the eye, and repair the retina.
- Anti-VEGF therapy: Medications that block the activity of vascular endothelial growth factor (VEGF) can help reduce the growth of abnormal blood vessels.
- Monitoring and management of other conditions: Managing diabetes and controlling blood sugar levels is essential to prevent further progression of diabetic retinopathy and associated complications.
Precautions
Precautions for Diabetic Retinopathy
- Manage Diabetes: Follow a healthy lifestyle and medication regimen to control blood sugar levels.
- Monitor Blood Sugar: Check levels regularly as advised by your healthcare provider.
- Hemoglobin A1C Test: Schedule regular tests to maintain blood sugar levels below 7%.
- Control Blood Pressure and Cholesterol: Maintain healthy levels through lifestyle changes and medication if needed.
- Avoid Tobacco: Quit smoking to reduce the risk of complications.
- Monitor Vision: Stay alert for any vision changes and seek prompt medical attention if needed.
Types of Diabetic Retinopathy
Different Types of
Diabetic Retinopathy
Before the Surgery
During the Surgery
After the Surgery
Before the Surgery
How you prepare for Diabetic Retinopathy Surgery
- Eye Examination: Assess the diabetic retinopathy extent and related complications.
- Vision Evaluation: Establish a vision baseline for post-surgery comparison.
- Blood Sugar Management: Ensure optimal blood sugar control through medication and monitoring.
- Treat Associated Conditions: Address concurrent issues like macular edema or glaucoma.
- Patient Education: Inform about surgery, risks, outcomes, and post-op care.
- Team Collaboration: Coordinate with specialists for comprehensive care.
During the Surgery
How you prepare for Diabetic Retinopathy Surgery
- Assess Extent: Evaluate diabetic retinopathy and associated complications thoroughly.
- Plan Surgery: Develop a precise surgical plan tailored to specific issues like vitreous hemorrhage or retinal detachment.
- Meticulous Technique: Employ precise techniques to address abnormal blood vessels and scar tissue.
- Continuous Monitoring: Monitor surgical progress in real-time and adjust interventions accordingly.
- Safety Compliance: Ensure strict adherence to safety protocols to minimize complications.
- Patient Comfort: Prioritize patient comfort throughout the procedure.
After the Surgery
How you prepare for Diabetic Retinopathy Surgery
- Follow-Up: Attend post-operative appointments for monitoring and addressing complications.
- Monitor Vision: Track changes and report abnormalities promptly.
- Medication: Adhere to prescribed medications to manage symptoms and prevent infection.
- Lifestyle Adjustments: Follow healthcare provider recommendations to aid healing.
- Eye Protection: Use recommended shields or glasses to prevent injury or irritation.
- Rehabilitation: Consider therapy for maximizing visual recovery.
Diabetic Retinopathy FAQs
Diabetic Retinopathy
FAQS
If one eye is affected by diabetic retinopathy, will the other be automatically affected?
Diabetic retinopathy usually affects both eyes. Symptoms may appear in one eye only, but both eyes are usually affected, though not necessarily equally.
What causes diabetic retinopathy?
Risk factors for developing diabetic retinopathy include poorly controlled diabetes or fluctuating blood sugar levels, hypertension, smoking, high cholesterol, anemia, low folic acid levels, kidney disease, and being diabetic for ten years or more (long-term diabetes). Controlled diabetes can also lead to diabetic retinopathy.
Can vision loss as a result of diabetic retinopathy be prevented?
Vision problems associated with diabetic retinopathy can be prevented through the proper management of diabetes and regulating blood sugar levels. This includes taking your diabetes medications regularly on time, following the prescribed diet, daily/weekly blood sugar testing, exercising regularly and maintaining normal body weight, controlling your blood pressure and cholesterol, periodic eye exams, and by avoiding alcohol and smoking.
What are the treatment options for diabetic retinopathy?
Mild cases of diabetic retinopathy can be treated with diet modifications and careful management of blood glucose levels. Advanced cases of diabetic retinopathy may require laser treatment to prevent bleeding and to improve blurred vision or a “vitrectomy”, which is a surgery to remove the jelly-like substance that fills the inside of the eye. Medications such as “blood vessel growth inhibitor” or steroids may be needed to treat swelling of the retina or to prevent the growth of abnormal blood vessels.
Can Lowering Blood Sugar Level Help With Diabetic Retinopathy?
When blood sugar levels are consistently high, the chances of diabetic retinopathy developing are high. That is why it is important to control your blood sugar levels in order to slow down diabetic retinopathy’s progression to vision loss