A member asked:

What are treatment options for diabetic retinopathy? if i do develop diabetic retinopathy, what are my options? which treatments are most effective?

3 doctors weighed in across 3 answers

That : That depends on the type and severity of diabetic retinopathy (dr): mild (or "non-proliferative) dr generally requires only tighter control of blood sugar, blood pressure, and cholesterol plus more frequent visits with the ophthalmologist to look for change in the dr. Proliferative dr requires treatment of the eye itself - generally with an in-office laser. A separate type of diabetic retinal disease called clinically significant macular edema (csme) requires treatment with laser, injection, or both. Both proliferative dr and csme can result in permanent loss of vision if not properly treated. It is important that anyone with diabetes see an ophthalmologist at least once each year for a dilated exam.

Answered 10/3/2016

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Dr. Matthew Rauen answered

Specializes in Ophthalmology

Diabetic : Diabetic retinopathy describes damage to the retinal blood vessels. The poorer the blood sugar control, the more rapid the development. The better the blood sugar control, the longer it takes to develop. Control of blood sugar is the key. Additionally, control of blood pressure and cholesterol are also important. Early diabetic retinopathy is often observed. Swelling of the macula can be treated with laser and injections new blood vessels can be treated with laser and injections too. Once one develops diabetic retinopathy, it signifies significant blood vessel damage. Following your eye doctors advice for the remainder of your life will be very important in maintaning vision.

Answered 10/3/2016

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There : There is a spectrum of presentations with diabetic retinopathy (dr). The mildest, aka background or non proliferative dr requires vigilance and improved control of your blood sugar. Proliferative diabetic retinopathy requires intervention usually with laser treatments and close monitoring. It is important to follow up closely with your eye doctor and improve your treatment compliance.

Answered 10/3/2016

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