Diabetic Retinopathy Screening and Treatment
Diabetic retinopathy is a condition affecting the retinal component of the due to impact of diabetes. As you know diabetes affects 4 major systems in the body- Kidney, Eye, Nerves and Heart. Both Type 1 and Type 2 Diabetes can affect multiple organs in the body. Longer the duration, more severe is the disease. The severity of diabetic retinopathy depends upon the duration and control of the disease and coexisting kidney disease.
What are the effects of Diabetic Retinopathy on vision?
There can be variable symptoms in patients suffering from mild to advanced form of the disease:
- Diminution of vision
- Sudden loss of vision due to Vtreous haemorrhage
- Progressive loss of vision due to Retinal detachment
How is Diabetic Retinopathy diagnosed?
Every diabetic patient undergoes a complete eye examination including dilated fundus examination to examine the retina completely. Based on the finding, the stage of the disease is confirmed.
What is the treatment for Diabetic Retinopathy?
Universal treatment guidelines are followed to treat every stage of the disease.
These treatment guidelines have been meticulously formulated after extensive research and clinical trials by eye surgeons across the world.
Routine blood investigations like complete blood count, Lipid Profile, Kidney function test, Serum Homocystein are advised.
Patient is advised to undergo Fundus Fluroscein angiography, OCT(Optical Coherence Tomography) , B- Scan and a color fundus photograph is obtained. Once all the details of retinal vasculature and retinal layers is obtained, best treatment options are discussed with the patient.
Diabetic retinopathy is majorly categorised into two main types:
Non -proliferative Diabetic Retinopathy:- if no new blood vessels found
Proliferative diabetic Retinopathy: If new vessels seen on FFA
These are then further categorised into mild moderate and severe categories depending upon other findings.
Treatment options available for Diabetic retinopathy are:
- Intravitreal injections of AntiVEGF agents- Bevacizumab, Ranibizumab, Aflirbicept.
- Laser photocoagulation: Full Field PRP, Focal/ Grid pattern.
- Surgical treatment for vitreous haemorrhage or retinal detachment.
Which is the best place to get the treatment of Diabetic Retinopathy?
All patients with should routinely get their eyes examined every 6 months so as to prevent detection of the disease in advanced stages. For further queries and opinion do consult us at OrthoVision Clinic , Noida.
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Dr. Sridevi Haldar
Cataract,Cornea & Refractive Eye Surgeon
Dr. Sridevi Haldar (Gunda) is an eminent eye surgeon providing expert services to leading city hospitals across Delhi NCR. She has been associated with Dr. Shroff Eye Hospital, Delhi; Venu Eye Institute, Saket and Sharpsight Centre in the past.
Qualification: After graduating in year 2005, she pursued her interest of specializing in the field of Ophthalmology and completed her post-graduation from world renowned, prestigious instate;”