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Diabetic retinopathy

Laser, intravitreal injections or surgery to treat retinal damage caused by diabetes.

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Diabetic retinopathy occurs when diabetes damages the blood vessels in the retina. Over time it can cause bleeding, macular edema, formation of abnormal vessels and, in advanced cases, retinal detachment. In early stages it may not cause symptoms, so early detection and ophthalmologic follow-up are essential to preserve vision.

What is it?

Treatment of diabetic retinopathy includes different therapeutic options aimed at controlling retinal damage and reducing the risk of vision loss. Depending on the case, it may include laser photocoagulation, intravitreal anti-VEGF injections and vitreoretinal surgery in more advanced cases.

Who is it for?

For people with diabetes who have diabetic retinopathy, diabetic macular edema or other complications related to diabetes-induced retinal damage. Treatment is individualized based on disease stage, degree of visual involvement and presence of complications.

How is it performed?

Treatment depends on the type and severity of diabetic retinopathy. Intravitreal injections are generally administered in a sterile area under eye-drop anesthesia. Retinal laser is performed on an outpatient basis and vitreoretinal surgery is reserved for cases with vitreous hemorrhage, tractional detachment or other advanced complications.

Recovery

Injections and laser treatments usually allow quick return to usual activities. In surgical cases, recovery may require relative rest, use of eye drops and, in some patients, maintaining a specific head position when intraocular gas is used.

Frequently asked questions

Frequently asked questions

Can I prevent diabetic retinopathy?
Good control of blood sugar, blood pressure and cholesterol, along with regular eye exams, is the best way to reduce the risk of developing diabetic retinopathy or delay its progression.
Are intravitreal injections painful?
Generally no. They are administered with eye-drop anesthesia and most people tolerate the procedure well. Afterwards mild irritation or temporary foreign-body sensation may occur.
Can diabetic retinopathy cause blindness?
Yes. Without timely treatment it can cause severe or permanent vision loss. That is why early detection and regular follow-up are important, even when there are no symptoms.
How often do I need an eye exam if I have diabetes?
Frequency depends on the type of diabetes and the state of the retina. Many people require at least an annual exam, although in the presence of diabetic retinopathy controls are usually more frequent.
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