Diabetic retinopathy, a complication seen in patients with diabetes. It is an important cause of vision loss and is considered a terrifying silent danger. This is because most diabetic patients in the early stages will not have any vision abnormalities. which can occur up to 90% after having diabetes for 15 years (FYR :
Dr. Siriphong Sinprajakphon, an ophthalmologist at Rama 9 Hospital Eye Center, explains, “Diabetes is a condition in which blood sugar levels are abnormally high. As a result, these small blood vessels throughout the body have problems. These blood vessels are distributed throughout our body. It transports blood cells, nutrients, and oxygen to the body’s tissues, especially our eyes. It’s a location where there are a lot of small blood vessels. Therefore, if such a problem occurs There will be ischemia of the retinal tissue. causing abnormal bleeding Have a swollen retina And if the symptoms are very severe It can result in blindness in diabetic patients. Therefore, diabetic retinopathy must be focused on patients who have been diagnosed with pre-diabetes.
Initially, the patient may not have symptoms. But if this condition occurs for a while The patient may begin to experience blurred vision. Vision begins to become abnormal, which may be caused by a swollen macula. from having abnormal blood vessels from diabetic retinopathy Or, some people may have acute blurry vision if a blood vessel breaks and causes bleeding in the eyeball. In cases with severe symptoms, if left until it becomes severe and then a membrane forms, causing retinal detachment, permanent vision loss may occur.”
“Blurred vision or abnormal vision caused by diabetic retinopathy. It is different from the general symptoms of nearsightedness or farsightedness. Most of which will have the following symptoms:
- Can’t see the center image clearly. Caused by swollen retina That is, from where the patient used to be able to clearly see the details in the middle. It will start to become blurry. In some cases, you may see a thin shadow in the middle. or see distorted images
- Seeing a dark shadow covering the eyes caused by broken blood vessels There is blood in the eyeball that obscures vision. Patients may see a dark shadow covering their eyes, which will be more or less depending on the amount of blood that has come out. Sometimes it may be seen as a line floating around.
- The screen is black!! It occurs when the patient has a large amount of bleeding and the blood breaks into the vitreous fluid of the patient’s eye. until the vision becomes dark
Currently, Rama IX Hospital along with tools for diagnosing diseases related to the eyes With international standards such as eye dilating drops To open the iris and thoroughly examine the retina In this case, the medicine causes temporary dizziness for about 4 hours, making it impossible to drive. and wait for the pupils to dilate for 1 hour before being examined In the case of some patients, it may not be convenient to use pupil dilating drops. We can use wide angle retinal imaging equipment. That will allow the doctor to take images to see the retinal area up to 200 degrees. Previously, with a normal retinal camera, only 50 degrees could be seen. There is also Measurement using a cross-sectional imaging machine or OCT machine, a tool used to take images of the optic nerve in a cross-sectional image. Helps doctors diagnose the pathology of the patient’s retina in more detail, making treatment easier.
Current treatment for diabetic retinopathy Can be done by
- Control the root cause: In principle, treatment depends on the stage of the disease. If the doctor finds that the patient is starting to have symptoms of diabetic retinopathy The most important thing is to treat the root cause. Emphasis is placed on controlling blood sugar levels. Normal blood fat and blood pressure Because these are factors that will make diabetic retinopathy more severe.
- Laser shot: In case there is increased bleeding in the eyeball. The doctor will choose laser treatment. The doctor will shoot a laser at the outer retina to reduce the oxygen consumption of the tissues in the eye. and reduce the secretion of substances that stimulate abnormal blood vessels from diabetic retinopathy
- Injection into the vitreous fluid: In cases where the patient has other complications such as retinal swelling as well. Doctors will use it as an injection to help. By injecting medicine into the vitreous fluid of the patient’s eye to reduce swelling of the retinal tissue. Currently, medicines for treating patients with diabetic retinopathy have developed quite far. The medicine that the hospital uses for injections is quite effective. But there are limitations in the early stages: Patients need to receive medication every month for the first 4-6 months. We found that there is a chance that vision will recover. Close to normal, as high as 60-70%.
- Surgery : In cases where the symptoms are more severe, such as if the patient leaves it until a membrane forms that pulls on the retina causing it to peel off or there is a large amount of vitreous hemorrhage. Doctors may need to treat it with surgery.
The doctor will consider the treatment method according to the stage of the disease that the patient has. In some cases, more than one treatment may be required together, such as injections combined with laser or injections combined with surgery.
In most cases of diabetes, in the beginning the patient will not feel anything abnormal. That is why doctors must recommend it to all patients with diabetes. Get an eye exam to find any abnormalities early because treatment in the early stages will give better results than leaving it until symptoms become severe and then seeing a doctor.”
“Many of you already know that diabetes It is a disease that cannot be cured, but medicine can be used to control blood sugar levels so that the patient can live as close to normal as possible. Therefore, treatment using the methods mentioned above is It cannot make the patient’s eyes return to normal 100 percent or recover from diabetic retinopathy immediately. But the main purpose of treatment is to try to stop the disease from getting worse. and to preserve the remaining vision so that it does not deteriorate Therefore, patients who have undergone treatment and their disease is in remission still need to be monitored periodically. It depends on the patient’s behavior as well. Because if diabetes is not well controlled There is also a chance of relapsing,” Dr. Siriphong concludes.
You can study additional risk factors and warning signs of the disease at or receive consultation from a specialist doctor at the eye center Praram 9 Hospital Tel. 1270 or www.praram9.com / Line: lin.ee/vR9xrQs or @praram9hospital and via Facebook: Praram9 Hospital Praram 9 Hospital HEALTHCARE YOU CAN TRUST about health…trust us. #Praram9Hospital
2023-12-06 04:18:00
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