Friday, 14 August 2015

Complications of Diabetes-Diabetic Retinopathy

Medical Treatments in India with Best Doctors in Best Indian Hospitals.

Awareness is the THE LIGHT that keeps away the darkness of many sufferings.

At CMCS Health we have devoted ourselves for ensuring good health and best specialized medical treatment for all.We do believe that prevention is better than cure.In continuation of our efforts of 
ensuring good health we try to create awareness and arrange and
 coordinate best and cost effective specialized medical treatment for the sufferer in India with best Indian specialist doctors and best and well equipped and well managed hospitals.
Diabetes is not just one disease,it gives rise to many health problems. We are starting this awareness series about complications of diabetes associated health problems.
The First in series is Diabetic Retinopathy.

What is Diabetic Retinopathy: One of the major complication of chronic uncontrolled, untreated Diabetes is Diabetic Retinopathy.Diabetic Retinopathy is unclear and hazy vision because of the damage to tiny blood vessels in eye,that provides nourishment to retina.The leakage of blood and other fluid due to damage to blood vessels in eye,causes swelling of retinal tissues and a hazy,unclear vision.Diabetic retinopathy affect both the eyes simultaneously.

Diabetic Retinopathy can be classified in two categories.

Proliferative Diabetic Retinopathy: Although proliferative diabetic retinopathy is not very common but it is more severe.
Non Proliferative Diabetic Retinopathy:This is commonly found form of diabetic retinopathy.Although it s mild but is associated with possibility of macular edema (Thickening of Retina).
Macular Edema hampers the vision drastically.

Diabetic Retinopathy is one of the major causes of Loss of vision or blindness in Adults.

What are signs and Symptoms of Diabetic Retinopathy? 

Usually the progression of diabetic retinopathy is slow and the sufferer don't feel any major changes but with progression of medical condition,the patient start having a clouded and hazy vision and if it is not treated in time,it may cause permanent vision loss or blindness. The symptoms of Diabetic Retinopathy are:

  • Hazy or clouded vision.
  • Sudden loss of vision in one eye.
  • Seeing rings or hollows around Light.
  • Dark spots or flashing lights.
The symptom described above may be associated with other medical conditions too,but if one suffer from diabetes then one must immediately see an Ophthalmologist or Eye doctor.
High blood pressure and pregnancy may aggravate diabetic retinopathy.

Who are at risk of suffering from Diabetic Retinopathy?

Anyone who suffers from diabetes,whether type-1 or type-2 stands the danger of suffering from Diabetic Retinopathy.
The major risk factors are:
  • poorly controlled diabetes over a period of time.
  • Uncontrolled and chronic high blood pressure.
  • Sleep apnea is a disorder where the sufferer have episodes of shallow or infrequent breathing during the sleep.
  • High blood cholesterol levels. 
How Diabetic Retinopathy is Diagnosed ?
At CMCS Health we are associated with best equipped and well managed Eye Care hospitals and centers. An Ophthalmologist or Eye Specialist may perform certain tests
  • Test for vision acuity.
  • Eye Fundus examination by dilation of eye and examining the retina.
  • Fluorescein Angiography is done by dilating the eye,injecting a die or contrast media in a vein and taking pictures of retina.
  • Ocular coherence tomography (OCT) can also be performed for diagnosis of diabetic retinopathy.


What are treatment Options for Diabetic Retinopathy?
There are different treatment options at different stages of the disease.
Regular and periodic check up with eye specialists are the front line management for Diabetic Retinopathy.
Strict control over Blood Sugar and Blood Pressure can greatly reduce or prevent diabetic retinopathy.

Laser Surgery:
Laser Surgery is routinely being used by the eye surgeon all across the globe for correction of diabetic retinopathy in conjunction with medicines.A laser is focused on retina to seal the leaking blood vessels in retina to reduce the Macular edema.
For Neovascularization the laser is delivered on peripheral retina.The small laser scar will prevent formation of abnormal blood vessels and helps in binding the retina to back of the eye and thus preventing retinal detachment.Laser surgery greatly improve the chances of preventing visual impairment or blindness.

Anti VEGF Therapy:
It involves injecting the medication in the back of the eye of the patient. Medication is an antibody designed to bind to and to remove excessive Vascular Endothelial growth factor present in the diseases eye.

Intraocular Steroid injections:
Another treatment for Macular edema, a diseased condition in diabetic retinopathy patient is to inject intraocular steroids for reducing the amount of fluid leaking into the retina because of chronic diabetic diseased condition. It sometimes require repeating the dose and often is clubbed with laser therapy to obtain better and lasting treatment results.

Vitrectomy:
It is generally recommended for those patients with advanced proliferative diabetic retinopathy.It involves a micro surgery where the blood filled vitreous is removed and replaced with a clear solution.





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