DIABETIC RETINOPATHY

Diabetic retinopathy may be a diabetes complication that affects the eyes. It’s caused by damage to the blood vessels of the light-sensitive tissue at the rear of the attention (retina).
In the starting stage, diabetic retinopathy may cause no signs or only mild vision problems. Diabetic retinopathy can develop in anyone who has type 1 or type 2 diabetes. The longer you’ve got diabetes and therefore the less controlled your blood glucose is, the more likely you’re to develop this eye complication.

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DIABETIC RETINOPATHY : SYMPTOMS , CAUSES AND TYPES

Diabetic retinopathy may be a diabetes complication that affects the eyes. It’s caused by damage to the blood vessels of the light-sensitive tissue at the rear of the attention (retina).
In the starting stage, diabetic retinopathy may cause no signs or only mild vision problems.. Diabetic retinopathy can develop in anyone who has type 1 or type 2 diabetes. The longer you’ve got diabetes and therefore the less controlled your blood glucose is, the more likely you’re to develop this eye complication.
At Eye Mantra Foundation, our meticulous approach to treat the patients with diabetic retinopathy includes a proper diagnosis of the problem and accordingly designing treatment modality.

SYMPTOMS OF DIABETIC RETINOPATHY

You might not have symptoms within the early stages of diabetic retinopathy. As the disease progresses it shows certain symptoms may include:

  • Floaters
  • Blurred vision
  • Fluctuating vision
  • Impaired color vision
  • Dark or empty areas in your vision
  • Vision loss

Diabetic retinopathy usually affects both eyes.

WHEN TO SEE A DOCTOR?

Careful management of your diabetes is the best way to preventing vision loss. If you’ve got diabetes, see your ophthalmologist for a yearly eye exam with dilation. Pregnancy may worsen diabetic retinopathy, so if you’re pregnant, your ophthalmologist may recommend additional eye exams throughout your pregnancy.
Contact your ophthalmologist directly if your vision changes suddenly or becomes blurry, spotty, or hazy.
Talk to your doctor if you’re concerned about symptoms.
You can book an appointment with Dr. Shweta Jain at Eye Mantra. She is a renowned and experienced ophthalmologist who can help you get diabetic retinopathy treated timely
Contact us on : +91-8851044355

TYPES OF DIABETIC RETINOPATHY

There are two types of diabetic retinopathy:

  • Early diabetic retinopathy during this more common form called nonproliferative diabetic retinopathy (NPDR) new blood vessels aren’t growing (proliferating).
    When you have NPDR, the walls of the blood vessels in your retina start to weaken. Little bulges (microaneurysms) protrude from the vessel walls of the smaller vessels, sometimes leaking fluid and blood into the retina. Bigger retinal vessels may start dilating and become uneven in diameter, as well. NPDR can progress from mild to severe, as more blood vessels get blocked.
    Nerve fibers within the retina may begin to swell. Sometimes the central part of the retina (macula) begins to swell (macular edema), a condition that needs treatment.
  • Advanced diabetic retinopathy. Diabetic retinopathy can reach this more severe type, mentioned as proliferative diabetic retinopathy. During this kind of damaged blood vessels close off, causing the expansion of the new, abnormal blood vessels within the retina, and may leak into the clear, jelly-like substance that fills the middle of your eye (vitreous).
    Eventually, connective tissue stimulated by the expansion of the new blood vessels may cause the retina to detach from the rear of your eye. If the new blood vessels interfere with the traditional flow of fluid out of the attention, pressure may build up within the eyeball. This can damage the nerve that carries images from your eye to your brain (optic nerve), leading to glaucoma.

RISK FACTOR DURING DIABETIC RETINOPATHY

  • Duration of diabetes —the longer you’ve got diabetes, the greater your risk of developing diabetic retinopathy
  • Poor control of your blood sugar level
  • High blood pressure
  • High cholesterol
  • Pregnancy
  • Tobacco use
  • Being African-American, Hispanic, or Native American

STAGES OF DIABETIC RETINOPATHY

Diabetic retinopathy mostly affects both eyes. The disease has three stages supported on which the treatment modalities are often discussed:
I. Non-proliferative diabetic retinopathy.
II. Macular edema.
III. Proliferative diabetic retinopathy.

COMPLICATIONS DURING DIABETIC RETINOPATHY

Diabetic retinopathy involves the abnormal growth of blood vessels within the retina. Complications can lead to serious vision problems:

  • Vitreous hemorrhage. The new blood vessels may bleed into the clear, jelly-like substance that fills the center of your eye. If the amount of bleeding is small, you might see only a few dark spots (floaters). In severe cases, blood can collect in the vitreous cavity and totally block your vision.
    Vitreous hemorrhage alone cannot cause total vision loss. The blood often clears from the attention within a couple of weeks or months. Unless your retina is broken, your vision may return to its previous clarity.
  • Retinal detachment. The abnormal blood vessels related to diabetic retinopathy stimulate the expansion of connective tissue, which may pull the retina faraway from the rear of the attention. This may cause spots floating in your vision, flashes of sunshine, or severe vision loss.
  • Glaucoma. New blood vessels may grow within the front a part of your eye and interfere with the traditional flow of fluid out of the attention, causing pressure within the eye to build up which may damage the optic nerve.
  • Blindness. Eventually, diabetic retinopathy, glaucoma or both can cause complete vision loss.

TREATMENT OF DIABETIC RETINOPATHY

At Eye Mantra Foundation, we offer the best diabetic retinopathy treatment in India and our wide range of services includes retina care with retinal detachment treatment and diabetic retinopathy management, based on laser and other surgical procedures at an affordable cost in Delhi-NCR.
Our experienced diabetic retinopathy specialists conduct a comprehensive eye examination to detect and assess the severity of diabetic retinopathy through extensive tests. The treatment is based on factors like stage of the disease, age of the patient, and consultations of the retina specialist.
Treatment, which depends largely on the sort of diabetic retinopathy you’ve got and the way it’s severe, is geared to slowing or stopping the progression of the condition.

Early diabetic retinopathy

If you’ve got mild or moderate nonproliferative diabetic retinopathy, you’ll not need treatment directly. However, your ophthalmologist will closely monitor your eyes to work out once you might need treatment.
Work together with your diabetes doctor (endocrinologist) to work out if there are ways to enhance your diabetes management. When diabetic retinopathy is mild or moderate, good blood glucose control can usually slow the progression.

Advanced diabetic retinopathy

If you’ve got proliferative diabetic retinopathy or macular edema, you will need prompt surgery. Depending on the precise problems together with your retina, options may include:

  • Photocoagulation. This laser treatment, also referred to as focal laser treatment, can stop or slow the leakage of blood and fluid within the eye. During the surgery, leaks from abnormal blood vessels are treated using laser burns.
    Focal laser treatment is typically wiped out at your doctor’s office or clinic during a single session. If you had blurred vision from macular edema before surgery, the treatment won’t return your vision to normal, but it’s likely to scale back the prospect the macular edema may worsen.
  • Panretinal photocoagulation. This laser treatment, also referred to as scatter laser treatment, can shrink the abnormal blood vessels. During the procedure, the areas of the retina faraway from the macula are treated with scattered laser burns. The burns cause the abnormal new blood vessels to shrink and injure it.
    It’s usually wiped out at your doctor’s office or clinic in two or more sessions. Your vision is going to be blurry for a few days after the procedure. Some loss of sight or night-sight after the procedure is feasible.
  • Vitrectomy. This procedure uses a small incision in your eye to get rid of blood from the center of the attention (vitreous) also as the connective tissue that’s tugging on the retina.
  • Injecting medicine into the eye. Your doctor may suggest injecting medication into the vitreous within the eye. These medications, called vascular endothelial protein (VEGF) inhibitors, may help stop the growth of the latest blood vessels by blocking the consequences of growth signals the body sends to get new blood vessels.
    Your doctor may recommend these medications, also called anti-VEGF therapy, as a stand-alone treatment or together with pan-retinal photocoagulation. While studies of anti-VEGF therapy within the treatment of diabetic retinopathy are promising, this approach isn’t yet considered standard.
    Surgery often slows or stops the progression of diabetic retinopathy, but it isn’t a cure. Because diabetes may be a lifelong condition, future retinal damage and vision loss are still possible.

PREVENTION FROM DIABETIC RETINOPATHY

You can’t always prevent diabetic retinopathy. However, regular eye exams, good control of your blood glucose and vital signs, and early intervention for vision problems can help prevent severe vision loss.
If you’ve got diabetes, reduce your risk of getting diabetic retinopathy by doing the following:

  • Manage your diabetes. Make healthy eating and physical activity a part of your daily routine. Try to get a minimum of 150 minutes of moderate aerobic activity, like walking, each week. Take oral diabetes medications or insulin as directed.
  • Monitor your blood sugar level. You may get to check and record your blood glucose level several times each day — more-frequent measurements could also be required if you’re ill or under stress. Ask your doctor how often you need to test your blood sugar.
  • Ask your doctor about a glycosylated hemoglobin test. The glycosylated hemoglobin test, or hemoglobin A1C test, reflects your average blood sugar level for the two- to three-month period before the test. For most people, the A1C goal is to be under 7 percent.
  • Keep your blood pressure and cholesterol under control. Opting for a healthy diet and regular exercise will be beneficial. Sometimes medication is needed, too.
  • If you smoke or use other types of tobacco, ask your doctor to help you quit. Smoking increases your risk of many kinds of diabetes complications, including diabetic retinopathy.

Pay attention to vision changes. Contact your ophthalmologist directly if you experience sudden vision changes or your vision becomes

BEST EYE HOSPITALS IN DELHI FOR DIABETIC RETINOPATHY

Deciding a hospital for treatment is not easy. If we objectively evaluate all the treatment facilities, in terms of training experience of doctors, and access to technology, as well as patient care and ease of access, Eye Mantra Foundation is one of the best to treat Diabetic Retinopathy.

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