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Diabetic Retinopathy

Diabetic Retinopathy Treatment

Specialized retinal care for diabetes-related eye complications to prevent vision loss and preserve eye health.

State-of-the-art eye examination equipment at our facility

Advanced Diabetic Retinopathy Care

At Aryavart Eye Hospital, we provide comprehensive diabetic retinopathy management using the latest retinal imaging and treatment technologies. Diabetic retinopathy is a serious diabetes complication that affects blood vessels in the retina. With timely intervention and proper management, we can prevent vision loss and preserve your sight.

Why Diabetic Eye Screening is Crucial

Silent Progression

Early stages often have no symptoms - regular screening detects problems before vision loss

Diabetes Duration Risk

80% of diabetics develop retinopathy after 20 years - earlier screening saves vision

Blood Sugar Connection

Poor glycemic control accelerates retinopathy - regular monitoring is essential

Preventable Blindness

90% of diabetes-related blindness preventable with early detection and treatment

Stages of Diabetic Retinopathy

Stage 1 Mild NPDR

Non-Proliferative Diabetic Retinopathy

Microaneurysms appear as small bulges in retinal blood vessels. No vision symptoms yet.

Annual screening Blood sugar control Blood pressure management
Stage 2 Moderate NPDR

Blood Vessel Damage

Blood vessels swell and distort, losing ability to transport blood. Some vessels become blocked.

6-month checkups Strict diabetes control Lifestyle modifications
Stage 3 Severe NPDR

Extensive Blockage

More blood vessels become blocked, depriving retina of blood supply. Macular edema may develop.

3-4 month follow-ups Consider laser treatment Anti-VEGF evaluation
Stage 4 PDR

Proliferative Diabetic Retinopathy

New fragile blood vessels grow on retina. These can bleed, causing vitreous hemorrhage and retinal detachment.

Immediate treatment Laser photocoagulation Vitrectomy if needed

Advanced Diagnostic Imaging

Fundus Photography

Color photographs of retina to document changes and track progression over time

OCT (Optical Coherence Tomography)

Cross-sectional retinal imaging to detect macular edema and measure retinal thickness

Fluorescein Angiography

Dye test to evaluate blood flow in retina, detect leaking vessels and ischemia

Widefield Imaging

Ultra-widefield retinal photos to visualize peripheral retina often affected early

Advanced Treatment Options

First Line Anti-VEGF Injections

Intravitreal Injections

Medications injected into eye to reduce abnormal blood vessel growth and macular edema

Lucentis (Ranibizumab) Eylea (Aflibercept) Avastin (Bevacizumab)
Standard Laser Photocoagulation

Focal & Panretinal Laser

Laser treatment to seal leaking blood vessels and reduce abnormal vessel growth

Focal laser for macular edema PRP for proliferative DR Pattern scan laser
Advanced Steroid Implants

Sustained Release Therapy

Long-acting steroid implants for persistent macular edema unresponsive to other treatments

Ozurdex implant Iluvien implant 3-6 month duration
Surgical Vitrectomy

Microsurgical Procedure

Removal of vitreous gel and blood to restore vision in advanced cases with vitreous hemorrhage

23/25 gauge vitrectomy Endolaser during surgery Retinal detachment repair

Prevention & Diabetes Management

1

Blood Sugar Control

Maintain HbA1c below 7% - reduces retinopathy risk by 76%

2

Blood Pressure Management

Keep BP below 130/80 mmHg - prevents retinal vessel damage

3

Cholesterol Control

Manage lipid levels - reduces macular edema risk

4

Annual Eye Exams

Comprehensive dilated eye exam every year without fail

Diabetic Retinopathy FAQs

How often should diabetics get eye exams?

Type 1 diabetes: First exam 5 years after diagnosis, then annually.
Type 2 diabetes: Comprehensive exam at diagnosis, then annually.
Pregnant diabetics: Exam in first trimester, then as recommended.
Existing retinopathy: More frequent exams (every 3-12 months based on severity).
Remember: More frequent exams if blood sugar is poorly controlled or retinopathy is progressing.

Can diabetic retinopathy be reversed?

Early stages of diabetic retinopathy can often be reversed with excellent blood sugar, blood pressure, and cholesterol control. However, once significant damage has occurred (proliferative retinopathy or macular edema), it cannot be fully reversed but can be stabilized and further vision loss prevented with treatment. Laser treatment, injections, and surgery can prevent progression but cannot restore vision already lost. This is why early detection through regular screening is so critical.

What are the warning signs of diabetic retinopathy?

Early stages: Usually NO symptoms - that's why screening is essential.
As it progresses: Blurred or fluctuating vision, dark or empty areas in vision, difficulty seeing at night, impaired color vision, spots or floaters (dark strings or spots), sudden vision loss.
Emergency symptoms: Sudden appearance of many floaters, flashes of light, curtain-like shadow over visual field - these may indicate retinal detachment and require immediate medical attention.

Are anti-VEGF injections painful?

Anti-VEGF injections are performed under topical anesthesia (numbing eye drops) so you shouldn't feel pain during the injection. You may feel slight pressure or a brief pinching sensation. The procedure takes only a few minutes. After the injection, you might experience mild discomfort, irritation, or temporary blurry vision for a few hours. Serious complications are rare (less than 1%). Most patients tolerate the injections well, and the vision benefits typically far outweigh the temporary discomfort.

Can laser treatment restore lost vision?

Laser treatment for diabetic retinopathy is primarily preventive, not restorative. Its main goals are to:
1. Stop progression of retinopathy
2. Prevent further vision loss
3. Reduce risk of severe complications like retinal detachment
4. Stabilize vision
Laser doesn't typically improve vision that's already lost, but it can prevent additional loss. In some cases of macular edema, focal laser may improve vision slightly. The treatment may cause some peripheral vision loss or difficulty with night vision, but these trade-offs are acceptable to preserve central vision.

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