TREATMENT OF DIABETIC RETINOPATHY
Diabetic retinopathy is one of the most serious complications of diabetes, and unless treated on time, it can lead to a permanent vision loss
Diabetic retinopathy is one of the most serious complications of diabetes, and unless treated on time, it can lead to a permanent vision loss. The reason patients are sometimes late in contacting their ophthalmologist, although suffering from diabetes for many years, is that in the beginning of diabetic retinopathy there are no symptoms until the disease reaches the advanced stage.
For this reason, it is extremely important for these patients to have regular ophthalmologist examinations, because diabetic retinopathy is still one of the 3 most common causes of blindness in the world! Diabetic retinopathy is a microangiopathy that affects pre-capillary arterioles, capillaries, so-called “small blood vessels”, although in the later stages larger blood vessels can be affected.
Basic clinical classification of diabetic retinopathy is:
- Non-proliferative – intra-retinal pathological process
- Proliferative – pathological process spreads on or off the retina surface
Pathological changes that most influence the reduction of visual acuity occur in the macula, or the so-called “yellow spot”, which is the point of central vision in the eye. This stage of the disease is called diabetic maculopathy and it often affects patients with type II diabetes mellitus.
Basic examination of patients with diabetic retinopathy includes:
- Slit-lamp indirect ophthalmoscopy
- OCT of macula and optic nerve
- Fluorescent angiography
- Electrophysiological tests (VEP / PERG)
Depending on the degree of change, different ways of treatment may be applied, and some of them are:
- Retinal laser photocoagulation
- Application of intravitreal anti-VEGF therapy
- The application of intravitreal corticosteroid therapy
Specialist ophthalmic clinic “Zona Vida Veselinovic” has the latest equipment for diagnosis and treatment of diabetic retinopathy. In our Cabinet for retinal diseases we perform complete diagnosis of patients with the diseases that affect this important part of the optic apparatus and all therapeutic procedures, including laser photocoagulation on the latest generation apparatus. PurePoint Alcon, which prevents further progression of the disease and preserves patients’ visual acuity better quality of life.