ADDRESS
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Address: 10-13-581, Reddy & Reddy Colony, Opp. Rush Hospital
TIRUPATI, 517501, India - Email: vmadhavims@gmail.com
- Website: www.drmadhaviretinaeyecare.com
- Toll Free:+91 - 7075442266
Diabetesmilletus is a common metabolic disorder characterized by sustained hyperglycemia of various severity.ccurs in both Type 1 and Type 2.incidence is more inType (40%) ,where as in Type 2 is 20%.
Risk factors
Duration is the most important factor.patients diagnosed with Diabetes milletus before the age of 30yrs ,the incidence of Diabetic retinopathy after 10 yrs is 50% and after 30 years is 90%.
Poor metabolic control
Pregnancy
Uncontrolled Hypertension
Nephropathy if severe is associated with worsening of Diabetic retinopathy.
Treatment
strict control of Diabetes milletus.
Regular fundus examination with Retina consultant
Panretinal photocoagulation of affected Retina to reduce further neovascularization.
Intravitreal anti vascular endothelial growth factor injections
Surgical management in unresolved vitreous haemorrhage cases with fibrovascularprolferations affecting visual axis.
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The earliest phase of diabetic retinopathy is known as ‘background diabetic retinopathy’. Often there are no symptoms in the early stages of the disease, nor is there any pain. In this phase, the arteries in the retina become weakened and leak, forming small haemorrhages. These leaking vessels often lead to swelling or oedema in the retina. As the disease progresses, some blood vessels that nourish the retina become blocked, over time worsening and depriving several areas of the retina with their blood supply.
In advanced diabetic retinopathy the signals sent by the retina for nourishment trigger the growth of new blood vessels. This condition is called proliferative retinopathy. These new blood vessels are abnormal and fragile. They grow along the retina and along the surface of the clear gel that fills the inside of the eye. By themselves, these blood vessels do not cause symptoms or vision loss. However, they have thin, fragile walls. If they leak blood, severe vision loss and even blindness can result.
A condition known as diabetic macular oedema occurs when blood leaks into the centre of the retina, known as the macula, the part of the eye where sharp, straight-ahead vision occurs. The fluid makes the macula swell, blurring vision. This can occur at any stage of diabetic retinopathy, although it is more likely to occur as the disease progresses.
The good news is that by regular and effective retina screening, diabetic retinopathy can be caught early and effectively treated. The national diabetic retina screening programme for diabetic retinopathy (Diabetic RetinaScreen) has been rolled out nationwide for everyone over the age of 12 who is affected by.
What treatments are available?
Prevention of diabetic retinopathy is the most important step to take for anyone with diabetes. Researchers have found that diabetic patients who are able to maintain appropriate blood sugar and blood pressure levels have fewer eye problems than those with poor control. Diet and exercise play important roles in the overall health of people with diabetes. People with diabetes can also greatly reduce the possibilities of eye complications by going to their routine examinations with an eye doctor and taking part in the national screening programme. Many problems can be treated with much greater success when caught early.
