Doctor insights on:
Can Diabetic Retinopathy Be Reversed
Daibetic retinopathy: Retinopathy (r) is seen in diabetic patients. It's an example of microangiopathy (m) in diabetes. M is affected not only by glucose control, it is affected more by BP as you can see in the slide. Good control of both BP and glucose levels are keys to the prevention of r. As seen in the image, BP control more importan.T for your answer about r in a particular patient, see an ophthalmologist. ...Read moreSee 1 more doctor answer
Control Risk Factors: Tight control of glucose can help prevent or delay the onset of retinopathy. Control of blood pressure and cholesterol are also important factors. It is important for all diabetics to get annual dilated eye exams from an ophthalmologist to determine whether retinopathy is present. ...Read moreSee 2 more doctor answers
Bad: Diabetic retinopathy is caused by blood vessel damage due to high sugar levels. It can cause leakage of fluid from vessels causing swelling. It can also cause the vessels to die leading to the retina not getting enough blood. Both of these can permanently impair vision. The best way to avoid this is control of sugars. Many treatments exist for diabetic retinopathy. ...Read moreSee 2 more doctor answers
Uncontrolled Diabete: Diabetic retinopathy comes in two types non-proliferative or proliferative. Clinical trials such as the dcct, edic, ukpds, accord, ukpds-hds, field have shown that if glucose levels, blood pressure, cholesterol, and lipids are not controlled diabetic retinopathy can get worse and lead to severe vision loss. Trials such as the etdrs, drs, drvs show that eye physicians can delay blindness. ...Read moreSee 1 more doctor answer
No cure yet: Diabetic retinopathy cannot be cured but can be effectively treated and in the last 10 years the treatments have improved dramatically with new surgical instruments for the small percentage that require surgery and several new medications that can improve macular edema (swelling of the retina) and control bleeding. But there's no substitute for good sugar and BP control to slow progression. ...Read moreSee 2 more doctor answers
80% of diabetics: 80% of diabetics who have had diabetes for at least ten years suffer with diabetic retinopathy. Research indicates that at least ninety percent of these new cases could be reduced if there was proper and vigilant treatment and monitoring of the eyes. ...Read moreSee 1 more doctor answer
No: Diabetic retinopathy may be prevented by good blood sugar control ( HGB A1c of <7.0) and may be treated with laser photo coagulation or anti-vegf( vascular endothelial growth factor) injections if it is detected early enough but although the changes may be stabilized and neovascularization may involute the retinopathy is not reversible. ...Read moreSee 1 more doctor answer
Laser, surgery, etc.: Diabetic retinopathy is a condition in which the vessels at the back of the eye leak, and there is risk of scar, bleeding, vision loss, retinal detachment. All of these are addressed in different ways with laser, injected pharmaceuticals, surgery and improvement in the general care of the diabetes. This needs close follow up with a retinal ophthalmologist. ...Read moreSee 2 more doctor answers
Eye exam.: An eye doctor, usually an ophthalmologist or a specialist in the diseases of the retina, diagnosis diabetic retinopathy through a careful eye exam that includes dilating the pupils. Other tests of the may also be performed using photographs, computer scans (oct), or injecting a dye into a vein in the arm and analyzing the dye's flow through the blodd vessels in the back of the eye (fa). ...Read moreSee 2 more doctor answers
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