According to International Diabetes Federation…..
- By 2025,the largest increase in prevalence of diabetes will take place in developing
countries like India.
- It has been estimated that diabetic retinopathy is the leading cause of vision loss in adults of working age (20…65 years )
Our diabetic retinopathy work up includes
- Annual screening of patients with duration of diabetes of 5 years or more.
- Assessing the retinopathy clinically, using fundus photography or fundus fluorescein angiography(FFA) and or OCT scan to decide the appropriate treatment.
- Assessing systemic factors like Hb, BP, Hb1AC, lipid profile and kidney function status which are found to play a significant role in the onset and progression of diabeticretinopathy
- Management of the disease
- Follow up of the patient as per recommended guidelines
- Educating the patient and the attenders about diabetes and diabetic retinopathy
- Providing the patient with record of their FFA and color fundus photographic pictures in the form of print outs or CDs.
FFA and FUNDUS CAMERA
- We use a special equipment called Fundus camera for doing the fundus fluorescein
- We do this test in some of the patients .
- FFA shows some fine features of the disease which cannot be made out by a routine retinal examination using an indirect ophthalmoscope and a 78D or 90D lens.
- It helps in assessing the progression of the disease and the response to treatment.
RETINAL PHOTOGRAPH USING FUNDUS CAMERA
- Yes…In the initial stages of diabetic retinopathy,there are no warning signs.
- At some point of time, it blurs the vision leading to difficulty in reading and driving.
- It could get worse over years and threaten your vision anytime..
Stages of the disease and the different treatment options…..
- Early stages(Background diabetic retinopathy) ….sometimes may require laser
- Late stages(proliferative diabetic retinopathy)…….. need laser treatment.
- Advanced stages(with complications)…… require surgery.
- Unfortunately, laser treatment does not cure the disease but only prevent further fall in vision.
- The next page in this web site contains an album of the color pictures taken by the fundus camera showing different stages of diabetic retinopathy ….
Who are all at increased risk of developing diabetic retinopathy?
- If you have high blood sugar level for a prolonged period of time,
- High blood pressure,
- High fat levels in blood,
- High urea, creatinine levels in blood and reduced hemoglobin level.
Can we prevent diabetic retinopathy?
Yes..by maintaining the above said parameters within normal range, by taking diet with less animal fat, less salt and high fibre and periodical eye check up as advised by your ophthalmologist.