Diabetic Retinopathy

 
Older man having eyes checked for diabetic retinopathy.

Although damage caused by diabetic retinopathy cannot be corrected, patients diagnosed with the condition can be treated to slow its progression and prevent further vision loss. Treatment modalities include laser and surgical procedures.

Diabetic Retinopathy Causes

Diabetic retinopathy is the most common type of diabetic eye disease and the leading cause of blindness in the US. This condition is caused by blood vessel changes within the retina that lead to swelling and leaking of fluid. It can also cause the growth of abnormal new blood vessels on the surface of the retina.

There are four stages of diabetic retinopathy that begin with the occurrence of microaneurysms and eventually lead to abnormal blood vessels on the surface of the retina that can easily leak fluid and cause severe vision loss and even blindness.

Diabetic Retinopathy Treatment

Treatment for the early stages of diabetic retinopathy and other condition usually focuses on maintaining levels of blood sugar, blood pressure, and blood cholesterol, in order to prevent any permanent damage from occurring. For more advanced stages of the condition, laser surgery is often effective in shrinking the abnormal blood vessels through over 1,000 laser burns in the area of the retina. This procedure, known as scatter laser treatment, usually requires two or more sessions in order to fully remove the blood vessels. The fluid can also leak into the center of the macula and cause swelling and blurred vision, a condition known as macular edema. The risk of developing macular edema increases as diabetic retinopathy progresses.

Macular edema can also be treated through a laser procedure, called focal laser treatment, which places hundreds of laser burns in the area of retinal leakage to reduce the amount of fluid in the retina. This treatment only requires one treatment. Laser treatments can be performed in your doctor’s office and are performed with anesthetic eye drops to minimize pain during the procedure. Patients may experience blurry vision for the rest of the day and should rest at home. It is important for patients to realize that these procedures cannot cure diabetic eye conditions, but rather help reduce vision loss for patients with advanced cases of the condition.

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“Dr. Shayna Mangers is a super Doctor! She saved my vision by identifying my glaucoma and treating it with an iridectomy. A couple of years after that she identified my retina which was in the process of detaching and once again she prevented my blindness. I cannot thank or praise Dr. Shayna Mangers enough! Want to add that she is personable and has great bed-side manners. I wholeheartedly recommend Dr. Mangers!” – Steve S., Moorpark, CA

Diabetic retinopathy is a complication of diabetes that weakens the blood vessels that supply nourishment to the retina (the light-sensitive lining in the back of the eye where vision is focused). When these weak vessels leak, swell or develop thin branches, vision loss occurs. In its advanced stages, the disease can cause blurred or cloudy vision, floaters and blind spots – and, eventually, blindness. This damage is irreversible.

Yes. People with diabetes are most susceptible to developing it, but your risk is reduced if you follow your prescribed diet and medications, exercise regularly, control your blood pressure, and avoid alcohol and cigarettes. Regular eye exams are an integral part of making sure your eyes are healthy.

Although damage caused by diabetic retinopathy cannot be corrected, patients diagnosed with the condition can be treated to slow its progression and prevent further vision loss. Treatment modalities include laser and surgical procedures.

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