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Doctor insights on: Diabetic Retinopathy

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Dr. Harold Peltan
250 doctors shared insights

Diabetic Retinopathy (Overview)

Poorly controlled diabetes can lead to thinning of blood vessels in the back of the eye which pouch out (microaneurysms) or leak. This can cause edema or scarring and lead to severe visual loss unless treated. Treatment can be very effective and this is why diabetics are encouraged to get a yearly eye examination by an ophthalmologist.


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Diabetic retinopathy, curable?

Diabetic retinopathy, curable?

Treatable!!: Tremendous advances in therapies for this issue, all dictated by extent of changes. Critical you are under care of retinal specialist to counsel you on best treatment protocols. ...Read more

Dr. Harold Peltan
250 doctors shared insights

Diabetic Retinopathy (Overview)

Poorly controlled diabetes can lead to thinning of blood vessels in the back of the eye which pouch out (microaneurysms) or leak. This can cause edema or scarring and lead to severe visual loss unless treated. Treatment can be very effective and this is why diabetics are encouraged to get a yearly eye examination by an ophthalmologist.


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Whats diabetic retinopathy?

Whats diabetic retinopathy?

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 more

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Is diabetic retinopathy reversible?

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 more

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Is diabetic retinopathy curable?

Is diabetic retinopathy curable?

Diabetic retinopathy: In susceptible diabetics, prolonged poor control leads to weakening of the outer walls of vessels in the retina leading to outpouching (microaneurysms), leaks, scarring, and vascular occlusion leading to ischemia. Ischemia sends out a signal (vegf) causing the growth of new vessels (neovascularization) which leak, and can lead to retinal detachment and proliferation. It is treatable - hurry. ...Read more

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Is diabetic retinopathy treatable?

Is diabetic retinopathy treatable?

Yes: Diabetic retinopathy is very treatable with laser, steroids, and a new class of medicines called vegf inhibitors. The specific treatment needed depends on the type and extent of the retinopathy. The most important thing is that early treatment always gives the best results. Diabetics need to be monitored at least every year to evaluate for any retinopathy. ...Read more

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What causes diabetic retinopathy?

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 more

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What is proliferative diabetic retinopathy?

New vessel growth: The main risk factors for causing pdr are having diabetes for longer than 10 years and poor blood sugar control. Pdr results when retinal blood vessels begin to grow abnormally in response to poor retinal circulation. The new vessels are fragile and bleed easily and bleeding is the main cause of vision loss in pdr. Treatments include laser, vitrectomy surgery, and intravitreal injections. ...Read more

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What is diabetic retinopathy?

What is diabetic retinopathy?

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 more

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How does diabetes cause diabetic retinopathy?

How does diabetes cause diabetic retinopathy?

Retinopathy: Retinopathy is unfortunately not uncommon in diabetes that is poorly controlled. If that is what you have you must see your eye doctor ASAP for careful evaluation and management. Do not delay or it will be too late! ...Read more

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How is diabetic retinopathy diagnosed?

How is diabetic retinopathy diagnosed?

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 more

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How is diabetic retinopathy treated?

How is diabetic retinopathy treated?

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 more

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Can diabetic retinopathy be cured?

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 more

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When in diabetes does diabetic retinopathy occur?

When in diabetes does diabetic retinopathy occur?

Depends : Most young diabetics will take at least 5 years before the diabetes can affect the retina- the light sensitive eye that is most commonly involved. Adult onset diabetics usually already have some form of eye disease at diagnosis. The chance of retinopathy is dependent on duration of disease, the amount of control of blood sugars, blood pressure and cholesterol and other co-existing diseases. ...Read more

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How to reverse background diabetic retinopathy?

Control: Control your blood sugar with the help of your primary care provider or endocrinologist. Stay on top of your eye disease by seeing a retina specialist. Diet and exercise are also helpful lifestyle modifications. ...Read more

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Is diabetic retinopathy curable? Please advise!

Diabetic retinopathy: Diabetic retinopathy is due to new abnormal blood vessels growing in the retina. It is a chronic condition that can be managed by anti-angiogenic injections if needed, strict diet control (low or no carb diet), laser if needed. It is able to be controlled in many situations. ...Read more

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At what stage in diabetes does diabetic retinopathy occur?

At what stage in diabetes does diabetic retinopathy occur?

Diabetic retinopathy: Diabetic retinopathy can occur at any stage in a diabetic patient. That is why an annual dilated eye examination by an ophthalmologist or retina specialist is highly recommended for diabetics, even if they are not having any symptoms. ...Read more

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How common is diabetic retinopathy?

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 more

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What is fractional retinal detachment secondary to diabetic retinopathy?

Detached Retina: It is actually a tractional retinal detachment. When diabetes causes the retinal blood vessels to die, the retina grows new blood vessels that are disorganized and of poor quality. They grow into the gel that fills the eye called the vitreous. This causes the vitreous to contract and pulls the retina off the back to the eye. That is a tractional retinal detachment. It often needs surgery. ...Read more

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What is diabetic ketoacidosis?

What is diabetic ketoacidosis?

Complication of DM : If the body does not have enough Insulin to carry sugar into the cells for energy, the body begins to use a backup energy plan breaking down fat. This creates ketones which build up in the body and create an acidic change in the body.Since the enzymes work best in a balanced environment you feel sickly & nauseated.As the process continues the metabolism breaks down & bad things happen(you can die). ...Read more

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Retinopathy (Definition)

Retinopathy is a generic term for any disease ...Read more