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Medical and Surgical Retina

Diabetic Retinopathy

Diabetic retinopathy is the retinal changes as the complication due to diabetic mellitus . It is the common cause of severe bilateral visual loss in working age group.

Symptoms

Asymptomatic in early stages

Blurred vision

Fluctuating vision

Dark areas in the vision

Poor night vision

Impaired colour vision

Partial or total loss of vision

Risk factors

Duration of having diabeties

Poor glucose control

Hypertension

Pregnancy

Nephropathy

Others : obesity, smoking, hyperlipidimea

Diagnosis

Visual acuity test

Pupil dilation

Direct or indirect ophthalmoscopy

Fundus fluorescien angiography

Optical coherence tomography

Treatments

Laser Photocoagulation

Laser treatment usually works very well to prevent vision loss if its done before the retina has been severely damaged.

  • Focal laser
  • Grid laser
  • Pan retinal photo coagulation

Intravitreal steriods

Triamicinolone acetonide.

Diabetic retinopathy is preventable through strict glycemic control & annual dilated eye exam by an ophthalmologist.

Intravitreal anti – VEGF therapy

Anti – VEGFmedicines slow the growth of abnormal blood vessels in the retina Eg : lucentis, avastin