SERVICES
Diabetic Eye Care
Overview
Melrose Eye provides comprehensive diabetic eye care, including screening and management of diabetic eye disease. Diabetic eye care encompasses a range of practices and treatments aimed at preventing and managing conditions associated with diabetes, such as diabetic retinopathy, diabetic macular oedema, cataracts, and glaucoma. These complications primarily stem from prolonged high blood sugar levels, which can damage the delicate blood vessels in the eyes.
Diabetic eye care screening
Screening is important because diabetic eye disease often remains asymptomatic prior to irreversible damage. Patients with both type 1 and type 2 diabetes require screening at least once a year. If diabetic changes are found, screening may be performed more frequently.
Diabetic eye care screening consists of the following:
- Visual acuity
- Slit lamp exam
- Retinal image acquisition
- OCT scan
Treatment of diabetic eye disease
Diabetic eye disease, particularly diabetic retinopathy, requires prompt and effective treatment to prevent vision loss. Two primary treatment modalities are intravitreal therapy and laser photocoagulation, each addressing different aspects of the disease.
Intravitreal therapy involves the injection of medications directly into the vitreous cavity of the eye. This approach is particularly effective for conditions like diabetic macular oedema and proliferative diabetic retinopathy. The most commonly used medications are anti-VEGF (vascular endothelial growth factor) agents, such as ranibizumab (Lucentis) and aflibercept (Eylea). The injections are typically administered under local anaesthesia and may need to be repeated monthly or at intervals determined by the patient's response to treatment.
Laser photocoagulation is another critical treatment option for advanced diabetic retinopathy. This procedure uses focused laser beams to target and seal off leaking blood vessels in the retina. Laser therapy can stabilize vision and prevent further deterioration, although it does not typically restore lost vision. This procedure is performed in an outpatient setting and usually requires multiple sessions for optimal results.
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Frequently Asked Questions
How can I prevent diabetic eye disease?
Preventive measures include maintaining good control of blood sugar levels, regular eye exams, managing blood pressure and cholesterol, adopting a healthy lifestyle, and avoiding smoking. Early detection through routine screenings is crucial for preventing severe complications.
When should I see an eye doctor?
You should see an eye doctor if you have diabetes and experience any changes in your vision, such as blurred vision, floaters, or sudden vision loss. Regular annual eye exams are recommended for all individuals with diabetes.
Can vision be restored after treatment?
While treatments can stabilize or slow down the progression of diabetic eye disease, they may not restore vision that has already been lost. Early detection and intervention are key to preserving as much vision as possible.