Top
30
Doctor insights on: How Can Eye Specialists Determine The Difference Between Diabetic And Hypertensive Retinopathy

Share
1

1
How can eye specialists determine the difference between diabetic and hypertensive retinopathy?

How can eye specialists determine the difference between diabetic and hypertensive retinopathy?

Exam and testing: Dilated fundus exam--diabetic and hypertensive retinopathy typically have different appearances, however they can appear similar with bleeding and ischemic areas of the retina. Areas requiring treatment to save vision (other than improving the underlying disease) can be found using imaging and angiogram diagnostic tests. ...Read more

Dr. Mark Ingerman
22 Doctors shared insights

Hypertensive Retinopathy (Definition)

Hypertensive retinopathy is frequently diagnosed in those with elevated blood pressure for a prolonged period of time based upon changes in the vessels in the retina. It also is a pathology of very high blood pressure in which retinal vessels leak fluid leading to radiating patterns of ...Read more


2

2
Please let me know if there is any difference between diabetic retinopathy and hypertensive retinopathy?

Please let me know if there is any difference between diabetic retinopathy and hypertensive retinopathy?

Yes, big difference.: Aside from being caused by 2 separate diseases, eye manifestations are distinct as well. Hypertensive eye changes occur from chronic affect of high pressure on the small arterioles in eye tissues, may lead to vascular occlusion. Diabetic eye disease affects the smaller capillary vessels, causing leakage and/or blockage of blood. If advanced, diabetic disease may require laser treatment or surgery. ...Read more

4

4
Eye doctor says im at risk for stroke because of hypertensive retinopathy?

Absolutely: There's the old saying that the eyes are the window to the soul. It's very true that may diseases are diagnosed by findings in the eye. If your eye dr. Saw changes in your retina caused by hypertension, it definitely raises your possibility of stroke. With 750, 000 strokes happening each year, you need prompt evaluation and treatment.
See your family md as soon as you can.
Good luck! ...Read more

5

5
How can you determine the grade of your hypertensive retinopathy when your ophthalmologist's report doesn't specify?

How can you determine the grade of your hypertensive retinopathy when your ophthalmologist's report doesn't specify?

Hypertension: The hypertension has to produce changes in the retinal vessels and this can be seen on a dilated fundus exam. This is a reflection of the acuteness or chronicity of the uncontrolled or untreated hypertension. Ask for an answer on your next examination. ...Read more

6

6
What can I do to control my blood pressure if I have hypertensive retinopathy?

What can I do to control my blood pressure if I have hypertensive retinopathy?

See MD: See a primary care physician for evaluation and treatment. There are many options to treat high blood pressure, depending on the cause of it. ...Read more

8

8
Does GFR of 54 for 3months, =54%kidney function? I have hypertensive retinopathy, on bp Meds. Eating right. High Stress job. Any Suggestions?

Does GFR of 54 for 3months, =54%kidney function? I have hypertensive retinopathy, on bp Meds. Eating right. High Stress job. Any Suggestions?

This is serious: Diet and "job stress" are actually unlikely to have much to do with kidney disease, and GFR estimates are only semi-scientific. However, if you're got hypertensive retinopathy, or if you have any abnormalities on urinalysis or testing of urinary concentrating ability, it'd be worth a nephrology consult. Hypertension is both caused by and damages the kidneys, typically. I'd get seen. ...Read more

10

10
I have hypertensive retinopathy so do people with this often have sclerosis and vascular changes to other blood vessels as well?

I have hypertensive retinopathy so do people with this often have sclerosis and vascular changes to other blood vessels as well?

Yes: The small blood vessels in the eye are sensitive "barometers" of hypertensive disease, and reflect the systemic changes seen in other blood vessels elsewhere. Larger blood vessels like the carotid, cardiac and aorta arteries develop atherosclerosis, whereas the smaller retinal, renal, ; cerebral develop arteriolar sclerosis. Blood pressure control is essential for organ protection. ...Read more

13

13
In what way can you cure hypertensive retinopathy?

Control your: blood pressure and take your blood pressure medication as prescribed. This can stabilize the retinopathy and in some cases, allow it to improve. It helps to monitor your blood pressure at home, eat healthy, and exercise. Good luck. ...Read more

14

14
What is the definition or description of: Hypertensive retinopathy?

Very high pressure: Hypertensive retinopathy is frequently diagnosed in those with elevated blood pressure for a prolonged period of time based upon changes in the vessels in the retina. It also is a pathology of very high blood pressure in which retinal vessels leak fluid leading to radiating patterns of yellow in the retina. ...Read more

15

15
Dx with moderate hypertensive retinopathy but do not suffer high blood pressure. Went to ophthalmologist due to flashes of light. Wrong diagnosis?

Dx with moderate hypertensive retinopathy but do not suffer high blood pressure. Went to ophthalmologist due to flashes of light. Wrong diagnosis?

HTN & the eyes.: High blood pressure causes distinctive findings on the retina, so distinctive that eye doctors can tell if someone has hypertension just by looking at their retinae. Can other things cause those findings? Sure, I suppose, but you listed hypertension as one of your conditions so for you that would be the prime candidate for those findings. ...Read more

16

16
What part of the eye is affected by diabetic retinopathy?

What part of the eye is affected by diabetic retinopathy?

Retina: Diabetic retinopathy causes bleeding in the retina from leaky damaged blood vessels. The body tries to grow in new blood vessels (neovascularization), and these can bleed as well. Some of these vessels can grow elsewhere in the eye such as the angle / iris and lead to elevated eye pressure. ...Read more

17

17
Can you have diabetic retinopathy on 1 eye??

YES: Yes- cetainly possible: consult a retinal specialist and check with your endocrinologist. ...Read more

18

18
Can a normal yearly eye exam tell you if you have diabetic retinopathy? The dr took pictures of my eyes and other tests but nothing was said about it.

Can a normal yearly eye exam tell you if you have diabetic retinopathy? The dr took pictures of my eyes and other tests but nothing was said about it.

Pre DM2 & retinopath: Couple of great factors to your advantage are your age and that you are not a diabetic. Diabetic retinopathy is a complication of diabetes. My understanding is that you are a pre diabetic. In my opinion you should focus on methods to prevent diabetes such as exercise and nutritional changes. However, is great that you know couple of complications from dmii. ...Read more

19

19
When having eyes dilated for glaucoma exam can an ophthalmologist detect diabetic retinopathy?

When having eyes dilated for glaucoma exam can an ophthalmologist detect diabetic retinopathy?

Yes if present: The dilated eye exam is exactly how we inspect the retina, optic nerve, blood vessels, and other parts for diseases. So if a person has diabetes and it is affecting their retina, we will find it and if necessary treat the complications. As it turns out, not having retinopathy (a good thing) doesn't mean that you don't have diabetes. Your primary doctor determines that. ...Read more

20

20
Can the use *Preferably non-smoking of marijuana have negative effects on Diabetic Retinopathy? Due to the effects marijuana has on the eyes.

Can the use *Preferably non-smoking of marijuana have negative effects on Diabetic Retinopathy? Due to the effects marijuana has on the eyes.

Potential benefits: The following is a link detailing a novel use of non-smoking form of marihuana called "Cannabidiol As a Putative Novel Therapy for Diabetic Retinopathy". http://www.420magazine. Com/forums/diabetes/152457-cannabidiol-putative-novel-therapy-diabetic-retinopathy. Html. Hopefully this will address your question well. ...Read more

21

21
If I have type 1 diabetes. Would I still be able to get surgery with slight retinopathy to the eyes?

If I have type 1 diabetes. Would I still be able to get surgery with slight retinopathy to the eyes?

Surgery: You don't mention the type of surgery you need. Ideally to have surgery your blood pressure should be well controlled ...Read more

22

22
I was recently diagnosed with diabetic retinopathy in my right eye. Am I a suitable candidate for laser surgery?

I was recently diagnosed with diabetic retinopathy in my right eye. Am I a suitable candidate for laser surgery?

It depends.: There are many variables that help your ophthalmologist decide which treatment options to use. Depending on the severity and location of the retinopathy and the threat to your vision, treatment can range from periodic observation to use of laser or other treatments in which medicine is injected in the eye. The answer will depend on your unique situation. ...Read more

24

24
How long does recovery from diabetic retinopathy laser eye surgery take?

How long does recovery from diabetic retinopathy laser eye surgery take?

Depends: It depends on what you mean by recovery. The changes in vision from the bright light of the laser will recover within minutes. The mild discomfort you may have following panretinal photocoagualtion will go away within a day or two. If you had laser for swelling of the macula and blurred vision, the vision will very slowly improve for many months, up to years form a single treatment. ...Read more

25

25
I've had type 1 diabetes for almost 18 years and now have some retinopathy in the right eye. I would like to get an insulin pump, but can't afford on?

I've had type 1 diabetes for almost 18 years and now have some retinopathy in the right eye. I would like to get an insulin pump, but can't afford on?

Better control key: The most important thing to improve or prevent retinopathy is better blood sugar control. You don't need an Insulin pump to do this. You should be on basal/bolus Insulin regimen (lantus (insulin glargine) once or twice daily, Humalog not humulin before each meal). If this does not improve blood sugars well enough, then one can consider an Insulin pump. See an endocrinologist. ...Read more

26

26
Can smoking weed be good or bad for eye diseases such as diabetic retinopathy and retinal vein occlusion?

Can smoking weed be good or bad for eye diseases such as diabetic retinopathy and retinal vein occlusion?

More downside...: More downside than upside such as lung disease. No evidence that marijuana helps either of those, and any smoking is bad for diseases that involve blood flow. Weed lowers eye pressure in glaucoma, but not for enough time to be effective. Other treatments work better. ...Read more

27

27
Is smoking marijuana dangerous for eye conditions such as diabetic retinopathy and retinal vein occlusion or any other eye disorder?

Is smoking marijuana dangerous for eye conditions such as diabetic retinopathy and retinal vein occlusion or any other eye disorder?

YES: Smoke contains particulate matter ; is the residue of something burning or being burned. Smoke gets into the eyes, ears, nose, tongue, mouth, lungs, hair, pores of the skin etc. Sulfur and carbon monoxide are prominent elements of smoke along with 3000 other chemicals which likely cause cancer or are toxic to tissues. So, smoking anything is bad for your health if healthy let alone if ill. ...Read more

28

28
What is the difference between presentation of diabetic retinopathy vs retinal vasculitis? (w/o diabetes/prediabetes) Could it be a predictor?

What is the difference between presentation of diabetic retinopathy vs retinal vasculitis? (w/o diabetes/prediabetes) Could it be a predictor?

Looking in the eye: They look very different. With diabetic there's new vessels. They can pop (retinal bleed), but more typical is gradual worsening of the vessels, scar, gradual blindness without big changes.
Vasculitis would usually cause more dramatic changes. ...Read more

30

30
Diabetic. Vision problems all of sudden. Just left annual vision check up w/ eye md &also w/ a eye specialist. Everything looked fine. Seeing dark spots?

Diabetic. Vision problems all of sudden. Just left annual vision check up w/ eye md &also w/ a eye specialist. Everything looked fine. Seeing dark spots?

Go back: Return to your eye md. You may have harmless vitreous floaters, but you may have vitreous hemorrhage secondary to diabetic retinopathy. As you may already know, big changes in your blood sugar up or down can cause blurry vision. ...Read more

Retinopathy (Definition)

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