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Diagnosis of Diabetic Retinopathy and Its Complications #5

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Complications As everyone knows that DR is very serious eye disorder and it affects many individuals because of lack of knowledge of Diabetic care. Hence by considering this point Dr. Ashwini Misal, who is well experience eye specialist in Pashan has written this article to aware individuals about eye care of people with Diabetes. Please find below associated complications with diabetic retinopathy : Vitreous hemorrhage: Eye fill with vitreous gel which is leaked from a newly formed blood vessel and it leads to stop light from reaching the retina. It shows symptoms such as sensitivity to light, or floaters in milder cases and loss of vision. if the retina remains undamaged then this complication can resolve itself. Detached Retina: The retina can be pulled away from the back of the eye by scar tissue. That leads to the appearance of floating spots in the person’s field of vision, and serious vision loss. If detached retina left untreated then it presents a significant risk of all total vision loss. Glaucoma: As new vessels get formed , the normal flow of fluid in eye get blocked. Due to this blockage, ocular pressure created in the eye and leads to increase risk of optical damage of nerves and total vision loss. Causes and risk factors Anybody who is suffering from diabetes is having risk of development of diabetic retinopathy. However, there is a major risk if the person: • do not control blood sugar levels • has problem of high blood pressure • has high cholesterol level • is pregnant • habit of regular smoking • has had diabetes for a long time The key cause of diabetic retinopathy (DR) is damage to the network of blood vessels that nourishes the retina. High glucose levels lead to damage these blood vessels and restrict the blood flow to the retina. The problems or issues with the blood vessels can be as tiny or as mild bulges in the vessel membrane that occasionally causes leakage of blood without affecting vision. However, in the mature stages of the condition, these blood vessels may get blocked completely. Then eye produces less stable new blood vessels. The new vessels get broken easily and leak into the vitreous gel of the eye. Due to bleeding vision becomes patchy and blurred by further blocking the retina. On occasion, this bleeding leads to form scars that may separate the eye and the retina and causing to detached retina.As symptoms started devolving in individual, DR gets increased and results in to complete vision loss. Diagnosis Diabetic retinopathy normally gets started without any noticeable or specific change in vision sight. However, an eye specialist or ophthalmologist, can predict the signs. It is crucial for people who are suffering from diabetes to have an eye examination at least once or twice yearly, or when recommended by a eye physician. Methods which are most commonly used to diagnose diabetic retinopathy are as follows:

Dilated eye exam The doctor inserts drops into the individual's eyes. These drops dilate the pupils and it allows the specialist to view or check inside of the eye in a more detailed manner. Photos of the interior of the eye are taken. The doctor can detect the presence of following during the eye examination: • abnormal issues in the optic nerve, or retina, blood vessels, • cataracts • minute or major changes in eye pressure or overall vision • new blood vessels • detachment of retina • scar tissue These drops may sting, and the bright lights of the photographs can startle the person receiving the test. The eye drops may results in to increase in ocular pressure in high-risk individuals, Fluorescein angiography To dilate the pupils drops are used and the Dye which is injected into vein in the patient’s arm is called fluorescein. When dye is circulating through the eyes the pictures are taken. If blood vessels are abnormal then that dye may stain the blood vessels or leak in to retina. This test helps to determine which blood vessels are leaking fluid, blocked, or broken down. Then any of laser treatments can be guided accurately. As the dye exits the body, skin may turn urine dark orange or yellowish after 24 hours of test. Optical coherence tomography (OCT) High-resolution cross-sectional images of the retina which reveals its thickness are obtained by this noninvasive imaging scan. Scans may be used after any treatment to check effectiveness of that treatment. Optical coherence tomography is very similar to ultrasound test but it makes the use of light instead of sound to produce images. The scan can also help to detect diseases of the optic nerve or retina. About Dr. Ashwini Misal : Dr. Ashwini Misal is a senior doctor - practicing and performing as Ophthalmologist, at Prakash Netralaya (Eye clinic in Bavdhan), since 2007 (last 11 years). She completed her M.B.B.S & D.O.M.S from University of Pune. She has performed more than 2000 eye surgeries. She has experience of IOL Fellowship in : • Arvind Eye Hospital Coimbatore, Tamilnadu. • Eye-Bank Observership at L.V. • Prasad Eye Institute, Hyderabad. For more details please visit : http://prakashnetralaya.in