What is Diabetic Retinopathy?
Diabetic retinopathy is eye damage caused by diabetes. If not treated, it can lead to blindness. It affects about 80% of people who have had diabetes for ten years or more. Early diagnosis and treatment can prevent blindness.
How Do I Know If I Have Diabetic Retinopathy?
There may not be any symptoms unless disease is advanced. That's why persons with diabetes need to undergo annual retina check up even if there is no symptoms. You are more likey to develop diabetic retinopathy if you have:
1. High blood pressure along with diabetes.
2. Poorly controlled diabetes.
3. Had diabetes for a long time.
4. Kidney problems.
5. Early onset of diabetes (insulin-dependent diabetes).
Does Diabetes Cause Permanent Vision Loss?
Yes, once diabetes affects the retina, it can cause irreversible vision loss. Early detection is crucial to prevent vision loss.
What Tests Are Needed to Diagnose Diabetic Retinopathy?
If diabetic retinopathy is suspected, you will need to see a retinal specialist. The following tests may be required:
- Fundus Fluorescein Angiography (FFA): This test checks the blood flow in the retina and looks for any leaks or blockages.
- Optical Coherence Tomography (OCT): This test provides detailed images of the retina to study any damage.
What Is the Treatment for Diabetic Retinopathy?
You may not need treatment unless the centre (macula) of your retina is affected. However, regular check-ups are essential. Treatments include:
- Anti VEGF drugs injection in the vitreous cavity for diabetic macular edema.
- Laser Treatment (Photocoagulation): If done before severe damage occurs, this is very effective at preventing vision loss. It helps to preserve existing vision but usually does not improve lost vision.
- Vitreoretinal Surgery: In advanced cases, if there is bleeding in the eye or retinal detachment, surgery may be needed. This surgery is difficult and expensive and often only partially improves vision.
Facility for LASER(NIDEK green laser) for Diabetic retinopathy is available at our centre.