What are treatment options for diabetic retinopathy? If I do develop diabetic retinopathy, what are my options? Which treatments are most effective? .
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.
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.
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.
It depends. Diabetic macular edema may need focal laser treatment and/or intravitreal injection of medication directly into eye. Proliferative diabetic retinopathy may need in-office laser or vitrectomy surgery in the operating room. This disease needs a retina specialist's expertise.
Diabetic retinopathy. The treatment of diabetic retinopathy (dr) is best managed by an ophthalmogist (o). You need to be examined, with your pupils dilated, in the o's office to see what stage of dr you have and what treatment you need for it. Control of glucose and blood pressure is mandatory, see a physician for those problems. Good luck.
Yes. Depending on the severity of disease, diabetic retinopathy can be stabilized. Ischemic disease or certain diabetic associated detachment however may not be surgically or medically correctable. This will depend on what your doctor sees in the tests that he orders.
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. Treatment options are in-office laser, intraocular injections, and vitrectomy surgery, depending on the severity.
Depends. It depends on the extent of diabetic retinopathy, type of treatment and presence of other comorbidities. There may be no complete recovery in terms of vision restoration. Your ophthalmologist (eye doctor) should be able to outline stages of recovery from the intervention.
Depends. Recovery time depends on what kind of treatment was performed. It usually takes at least a few weeks or months to see full improvement.
Recovery time varies. Recover time will vary depending on many factors including age, general health of the patient, infection control, smoker or not, blood sugar control, the exact type of procedure, and post-operative and follow up care. Discuss it with your surgeon and get their opinion as to what they feel is a reasonable recovery time for you.
It Depends.......... There are 3 main options for treating diabetic retinopathy: 1) laser photocoagulation; 2) intraocular injection; and 3) vitrectomy surgery. The type of treatment choosen is based on the extent and type of diabetic retinopathy your doctor identifies. Recovery can range from a few days to several weeks.
Minimal. If you are referring to recovery from laser treatments and injections, then it is very quick. I tell patient's that aside from the blurred vision of dilation, they may return to work or routine activity. If you mean how long does it take to get response to laser or injections, that is a different question altogether. Recovering from surgery should it ever get to that takes longer.
Not for treatment... But the best way to prevent diabetic retinopathy is with blood sugar and blood pressure control. Lifestyle (diet and exercise) play an important role and are available without a doctor's prescription, just like over-the-counter medicines. The treatments for diabetic retinopathy involve the injection of medicines into or next to the eye, in-office laser procedures, and sometimes surgery.
No. Diabetic retinopahty is an end-result of poor blood sugar control over years. The disease leads to leaking blood vessels and decreased oxygen in the retina. This in turn can cause the growth of new blood vessels that also leak, and can cause varying levels of vision loss. No over-the-counter remedy exists. Treatment includes blood sugar control and laser surgery if necessary.
Prevention. The best way to deal with diabetic eye disease is to prevent it. The only way to do that is to have very tight blood sugar control. And to prevent vision damage or loss, you must see an ophthalmologist every year. If we find problems in the early phase, laser will prevent damage!
Diabetic retinopathy. The best thing for anyone with diabetes to do to prevent retinopathy is to keep their blood sugars under tight control. Long term studies have shown that individuals who have had many years of normal blood sugars and normal a1c's have a very low incidence of diabetic retinopathy. Other than that, it is essential that all diabetics have a dilated eye examination at least on a yearly basis.
Not long. Normally, within a few minutes you are comfortable and your eyesight has returned to baseline. You may have a headache for a few minutes to hours.
Depends. If you have blood in your eye, that will take many weeks or possibly months to clear even with laser treatment. As for the laser itself, usually the blurriness doesn't go away for a few hours because you would have been put on dilating eye drops.
Depends on problem. There are two types of laser used for diabetic retinopathy, one lighter powered laser to decrease swelling, and one stronger powered laser used to cause abnormally growing blood vessels to regress. The blood vessels themselves aren't layered. Instead, laser scarring of the peripheral retina decreases the stimulus that causes those abnormal vessels to grow.
Control diabetes. Best way to treat the disease including diabetic retinopathy is glucose control, hypertension control, and lipid control. Control of a single factor can reduce progression of the disease by 20-50 %. In our diabetes team, rarely do I have to employ lasers, injections because the internal and family medicine doctors are very capable of preventing progression. Goal is hga1c less than 7 in most pt.
Retinopathy laser. Take a piece of paper (retina), make a tiny dot in the middle of it. That tiny dot help you see sharp/read. Dm retinopahty likes to attack from the periphery towards that tiny spot like an army. Laser burns, & makes a fence to prevent the advancing retinopathy to reach the dot (macula). Laser is like sand bags when having a flood. So the main thing is to control your diabetes as best as possible.
Are you able to fly after having diabetic retinopathy laser treatment, and if so, how long after treatment please?
Yes. Comercial flight does not cause problem after 48 hrs.