Diabetic retinopathy is a condition caused by diabetes mellitus where blood vessels of the retina are damaged due to the high blood glucose level. Such damage to the blood vessels of the retina can result in abnormal bleeding, swelling of the retina (macular edema), poor blood flow to the retina, and/or scarring of the retina. It can occur for both Type I and Type II diabetes. The longer you have had diabetes, the more likely you are to develop diabetic retinopathy. The less well-controlled the diabetes, the more likely it is also to develop diabetic retinopathy.(Retina Evaluation)
1. Strict blood pressure and blood sugar control
2. See us at Insight eye clinic for a yearly eye exam
3. Talk to your physician or your eye doctor about any vision changes
With early detection and timely treatment, we can prevent blindness in nearly all diabetics. If you are a diabetic, don’t forget to see us at least once a year for a thorough eye examination!
Pan retinal Photocoagulation (PRP) laser surgery is performed in proliferative diabetic retinopathy patients to prevent severe vitreous hemorrhages and blindness.
Age-related macular degeneration (AMD) is the leading cause of severe vision loss in people over age 60. The macula corresponds to the center of the retina, and it is responsible for our central vision.
There are two forms of AMD, dry and wet.
The dry form of AMD is more common, and many people do not even realize that they have it. Deposits called drusen appear in the macula, which can result in a slow deterioration in vision over time. However, in some cases, the dry form can change to the wet form, which can have a dramatic effect on vision.
In the wet form of AMD, new and abnormal vessels form and begin to leak blood or fluid in the macula, which can lead to rapid changes in vision, such as distortions, or large “spots”.
Risk factors for AMD include age, smoking, and a family history of macular degeneration, Caucasian ethnicity, and history of AMD in one eye, elevated cholesterol, high blood pressure, female gender, and obesity.At Insight eye clinic we recommend annual eye examinations so that we can determine if you have macular degeneration. If you have the dry form of AMD, there is no treatment, but supplements with antioxidants (vitamins C,E, zinc , lutein,and beta-carotene) may decrease the risk of developing wet AMD, and UV protection and refraining from smoking is emphasized. High doses of beta carotene have been shown to increase the risk of developing lung cancer in people who have a history of smoking.
Ask your Doctor for a recommendation. If you are diagnosed with wet AMD, we will co-manage your disease with a retina specialist for additional tests and treatment.
Intravitreal therapy such as Eylea, Avastin, Lucentis, and Triamcinolone may be necessary to treat macular oedema as well as new vessels in diabetic retinopathy, ARMD, Vein occlusions etc .Treatment may need to be repeated at regular intervals to continue long-term benefits. In some cases, these drugs may be combined with vitrectomy surgery.