Diabetes mellitus is estimated to effect over 200 million throughout the World. This is one of the commonest causes of Blindness. The World Health Organization(WHO) with the support of different Countries and NGO’s has launched massive programme of diabetic screening and management.

The diabetic eye diseases comprise diabetic retinopathy, diabetic macular edema, Cataract and Glaucoma. All these are potential threat to vision loss. Diabetes mellitus causes changes in the small blood vessels causing microaneurysms which are likely to bleed causing distortion of the vision. Early changes in the retina may go unnoticed until there is drastic visual loss. Bleeding from abnormal retinal vessels can cause visual loss and floating spots. It is advised every diabetic patient should get retinal evaluation at least once in a year.

Prevention of diabetic retinopathy is not possible but however early detection and treatment will reduce the risk of Blindness. The treatment of diabetic retinopathy will starts when proliferative diabetic retinopathy is likely to set in or the presence of diabetic macular edema.

Photocoagulation: The eye care professional makes tiny burns on the retina with a special laser. These burns seal the blood vessels and stop them from growing and leaking. Scatter photocoagulation reduces the risk of blindness from vitreous hemorrhage or detachment of the retina, but it only works before bleeding or detachment has progressed very far. This treatment is also used for some kinds of glaucoma.

Diabetic Retinopathy Management:

1. Strict control of diabetes with tablets or injection;

2. Control of blood pressure;

3. Control of cholesterol;

4. Change of lifestyle stopping smoking weight control and exercise; 5. Genes

-Dr. A. Saibaba Goud,

M.S., Ph.D., Medical Director

Saijyothi Eye Institute, Secunderabad,

Founder Chairman, DEVNAR Foundation for the Blind

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