Treatment FAQ

what is the treatment for diabetic retinopathy

by Kendall Stokes Published 3 years ago Updated 3 years ago
image

For diabetic retinopathy that is threatening or affecting your sight, the main treatments are: laser treatment – to treat the growth of new blood vessels at the back of the eye (retina) in cases of proliferative diabetic retinopathy, and to stabilise some cases of maculopathy.

Medication

Anti-VEGF medicines block the effects of VEGF. Sometimes injections of these types of medicine help to shrink new blood vessels in proliferative diabetic retinopathy. An anti-VEGF medicine, such as aflibercept (Eyelea) or ranibizumab (Lucentis), might be used if the macula has been damaged by macular edema. Steroids may be injected into the eye.

Procedures

For diabetic retinopathy that is threatening or affecting your sight, the main treatments are: laser treatment – to treat the growth of new blood vessels at the back of the eye (retina) in cases of proliferative diabetic retinopathy, and to stabilise some cases of maculopathy

Self-care

Jun 20, 2018 · Current treatment strategies for DR aim at managing the microvascular complications, including intravitreal pharmacologic agents, laser photocoagulation and vitreous surgery. Intravitreal administration of anti-VEGF agents is currently the mainstay of therapy for both early and advanced stages of DR.

Nutrition

Mar 25, 2022 · Medicines called anti-VEGF drugs can slow down or reverse diabetic retinopathy. Other medicines, called corticosteroids, can also help. Learn more about injections to treat diabetic retinopathy Laser treatment. To reduce swelling in your retina, eye doctors can use lasers to make the blood vessels shrink and stop leaking.

See more

Jan 21, 2017 · What is the treatment for diabetic retinopathy? ANSWER ITreatment for diabetic retinopathy should involve both a medical doctor and an ophthalmologist. Your medical doctor can help you better...

What is diabetic retinopathy and how is it treated?

Proliferative Diabetic Retinopathy. Medical treatment for proliferative diabetic retinopathy management has had minimal advancement over the past 40 years since panretinal photocoagulation was established as an effective treatment to …

How do you treat diabetic retinopathy?

All consecutive diabetic patients with retinopathy and suitable indication for argon laser treatment were included. The costs related to the initial and final fluorescein angiography, the appointment for follow-up, round-trip transportation costs from the patient's home and the cost of laser treatment were included.

How to reverse diabetic retinopathy naturally with diet?

Apr 13, 2022 · The global Diabetic Retinopathy Treatment market size is estimated to be worth USD 7548 million in 2022 and is forecast to a readjusted size of USD 9807 million by 2028 with a CAGR of 4.5% during ...

What food is good for diabetic retinopathy?

See more

image

Can diabetic retinopathy resolve?

There is no cure for diabetic retinopathy. But treatment works very well to prevent, delay, or reduce vision loss. The sooner the condition is found, the easier it is to treat.

How long does it take to go blind from diabetic retinopathy?

Diabetic retinopathy is a complication of diabetes, caused by high blood sugar levels damaging the back of the eye (retina). It can cause blindness if left undiagnosed and untreated. However, it usually takes several years for diabetic retinopathy to reach a stage where it could threaten your sight.

What is the best way to help control diabetic retinopathy?

If you have diabetes, reduce your risk of getting diabetic retinopathy by doing the following:Manage your diabetes. ... Monitor your blood sugar level. ... Ask your doctor about a glycosylated hemoglobin test. ... Keep your blood pressure and cholesterol under control.More items...•Jun 24, 2021

What are the four stages of diabetic retinopathy?

What Are the Four Stages of Diabetic Retinopathy?Mild Nonproliferative Retinopathy. The first stage happens when the small blood vessels in the retina develop tiny bulges. ... Moderate Nonproliferative Retinopathy. ... Severe Nonproliferative Retinopathy. ... Proliferative Diabetic Retinopathy (PDR) ... Treatment.

Can lowering blood sugar improve vision?

While high blood sugar can change the shape of the lens in your eye, low blood sugar doesn't and this particular vision issue can be corrected sooner by getting your blood sugar back to normal from a meal or snack.Nov 26, 2018

Can you reverse retinopathy?

Can diabetic retinopathy be reversed? No, but it doesn't have to lead to blindness, either. If you catch it early enough, you can prevent it from taking your vision. That's why it's vital to have regular visits with an Ophthalmologist or Optometrist who's familiar with diabetes and retina treatment.Jan 31, 2020

How can diabetic retinopathy be improved?

How can I reduce my risk of diabetic retinopathy?Avoiding smoking.Controlling your blood sugar.Exercising regularly.Having annual eye exams.Keeping your blood pressure within a healthy range.Taking any medications exactly as prescribed.Mar 22, 2021

Can glasses help with retinopathy?

Award-Winning Glasses For Diabetic Retinopathy eSight is an assistive device that can help people with Diabetic Retinopathy experiencing central vision loss.Mar 16, 2022

Can eye drops help diabetic retinopathy?

Twice-daily eye drops containing neuroprotective agents could be used successfully to treat diabetic retinopathy, research suggests. In a two-year trial the specialist drops were compared to placebo drops and shown to significantly slow the progression of neurodegeneration (decrease in nerve function) of the retina.Oct 2, 2017

What is the first stage of diabetic retinopathy?

The first stage is also called background retinopathy. It means that there are tiny bulges in the tiny blood vessels in your retinas. The bulges are called microaneurysms. They may cause the vessels to leak small amounts of blood into your retinas.

What type of retinopathy is the earliest stage?

Stage 1: Mild nonproliferative diabetic retinopathy This is the earliest stage of diabetic retinopathy, characterized by tiny areas of swelling in the blood vessels of the retina. These areas of swelling are known as micro aneurysms.Feb 18, 2021

What is the best treatment for diabetic retinopathy?

An anti-VEGF medicine, such as aflibercept (Eyelea) or ranibizumab (Lucentis), might be used if the macula has been damaged by macular edema. Steroids may be injected into the eye.

What is the treatment for proliferative retinopathy?

Severe proliferative retinopathy may be treated with a more aggressive laser therapy called scatter (pan-retinal) photocoagulation. It allows your doctor to limit the growth of new blood vessels across the back of your retina. Laser treatments may not always work in treating proliferative retinopathy.

What is the effect of anti-VEGF on retina?

Anti-VEGF medicines slow the growth of abnormal blood vessels in the retina. This growth is triggered by a protein called vascular endothelial growth factor (VEGF). Anti-VEGF medicines block the effects of VEGF. Sometimes injections of these types of medicine help to shrink new blood vessels in proliferative diabetic retinopathy.

What is the procedure to remove vitreous gel?

Surgical removal of the vitreous gel (vitrectomy). This surgery may help improve vision if the retina hasn't been severely damaged. It's done when there is bleeding (vitreous hemorrhage) or retinal detachment. These two problems are rare in people with early-stage retinopathy.

Is it better to control blood sugar or retinopathy?

And it's more likely that vision will be saved. Controlling your blood sugar levels is always important. This is true even if you've been treated for diabetic retino pathy and your eyes are better. In fact, good blood sugar control is even more important in this case. It can help keep retinopathy from getting worse.

Can diabetic retinopathy be treated?

Your side (peripheral) vision has been severely damaged. There is no cure for diabetic retinopathy. But treatment works very well to prevent, delay, or reduce vision loss. The sooner the condition is found, the easier it is to treat. And it's more likely that vision will be saved.

How to treat diabetic retinal retinopathy?

For diabetic retinopathy that is threatening or affecting your sight, the main treatments are: laser treatment – to treat the growth of new blood vessels at the back of the eye (retina) in cases of proliferative diabetic retinopathy, and to stabilise some cases of maculopathy. eye injections – to treat severe maculopathy that's threatening your ...

How to prevent vision problems with diabetic retinopathy?

Managing your diabetes. The most important part of your treatment is to keep your diabetes under control. In the early stages of diabetic retinopathy, controlling your diabetes can help prevent vision problems developing. In the more advanced stages, when your vision is affected or at risk, keeping your diabetes under control can help stop ...

What is the treatment for maculopathy?

eye injections – to treat severe maculopathy that's threatening your sight. eye surgery – to remove blood or scar tissue from the eye if laser treatment isn't possible because retinopathy is too advanced.

What is stage 3 diabetic eye screening?

It's typically offered if diabetic eye screening detects stage three (proliferative) retinopathy, or if you have symptoms caused by diabetic maculopathy . At all stages, managing your diabetes is crucial. Read about the stages of diabetic retinopathy for more information about what these terms mean.

Why do you need laser treatment for diabetic retinopathy?

This is done because the new blood vessels tend to be very weak and often cause bleeding into the eye.

How long does it take for a laser to work on your eyes?

normally takes around 20-40 minutes.

Why do diabetics give anti-VEGF?

In some cases of diabetic maculopathy, injections of a medicine called anti-VEGF may be given directly into your eyes to prevent new blood vessels forming at the back of the eyes.

Home Remedies and Lifestyle

If you are at risk for retinopathy caused by diabetes or high blood pressure, lifestyle modifications can improve your symptoms and prognosis.

Prescriptions

If you’ve been diagnosed with retinopathy, your physician may prescribe one of the following medications. While these have been proven effective, they do have side effects which your physician will carefully weigh against the benefits.

Surgeries and Specialist-Driven Procedures

The most common treatment for retinopathy before anti-VEGF medications were developed was laser treatment. 7 With advances in technology, laser treatment is still used frequently, sometimes along with anti-VEGF medications.

Over-the-Counter (OTC) Therapies

While more studies need to be done, there is some evidence that supplementation with certain vitamins and minerals can improve retinopathy.

A Word From Verywell

Whether you have retinopathy or are at risk for retinopathy, it’s important to talk to your healthcare provider about treatment and prevention.

What test is done to see if you have diabetic retinopathy?

If your eye doctor thinks you may have severe diabetic retinopathy or DME, they may do a test called a fluorescein angiogram. This test lets the doctor see pictures of the blood vessels in your retina.

Why is my vision blurry with diabetic retinopathy?

If you have DME, your vision will become blurry because of the extra fluid in your macula. Neovascular glaucoma .

What causes scars in the back of the eye?

Diabetic retinopathy can cause scars to form in the back of your eye. When the scars pull your retina away from the back of your eye, it’s called tractional retinal detachment. Learn more about types of retinal detachment.

What causes blood vessels to grow out of the retina?

Neovascular glaucoma . Diabetic retinopathy can cause abnormal blood vessels to grow out of the retina and block fluid from draining out of the eye. This causes a type of glaucoma. Learn more about types of glaucoma. Retinal detachment .

What causes retinopathy in the eye?

Diabetic retinopathy is caused by high blood sugar due to diabetes. Over time, having too much sugar in your blood can damage your retina — the part of your eye that detects light and sends signals to your brain through a nerve in the back of your eye (optic nerve). Diabetes damages blood vessels all over the body.

How to reduce swelling in retina?

Laser treatment . To reduce swelling in your retina, eye doctors can use lasers to make the blood vessels shrink and stop leaking. Learn more about laser treatment for diabetic retinopathy. Eye surgery .

Can you get diabetic retinopathy?

Anyone with any kind of diabetes can get diabetic retinopathy — including people with type 1, type 2, and gestational diabetes (diabetes that can develop during pregnancy). Your risk increases the longer you have diabetes. More than 2 in 5 Americans with diabetes have some stage of diabetic retinopathy. The good news is that you can lower your risk ...

image

Treatment

Alternative Medicine

Coping and Support

Preparing For Your Appointment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Mild and moderate cases do not require immediate treatment but are monitored and careful management of diabetes is advised. Advanced cases need treatment which may be either medical or surgical.
Medication

Intravitreal anti-VEGF injection: To prevent growth of abnormal blood vessels. Especially when central vision is getting affected.

Ranibizumab . Bevacizumab . Aflibercept


Glucocorticoids: Given in the form of injection or injected as an implant for continuous sustained release of the drug to reduce macular edema and if anti VEGFs are proving ineffective.

Triamcinolone acetonide

Procedures

Laser treatment: Abnormal blood vessels are shrunk by the use of heat from a laser.

Vitrectomy: Surgical removal of the clear, jelly-like substance (vitreous gel) that fills the inside of the eye to relieve traction of the vitreous gel on the retina that may cause its detachment which may lead to blindness.

Self-care

Always talk to your provider before starting anything.

  • Diet modification- Eating a diabetic diet that decreases fluctuations in blood sugar levels.
  • Exercise- This will help in keep the blood sugars within the normal range hence complications will not occur. - Regular self blood sugar monitoring to minimise fluctuations and ensure good control of blood sugar with ongoing medications. If uncontrolled, patients should seek increase in dosage of hypoglycemia medications from medical practitioner.

Nutrition

Foods to eat:

  • Gluten-free intake such as fruit, vegetables, pulses, fish etc.
  • Low sugar/carbohydrate diet such as lean meats,fish, eggs, leafy green vegetables etc.
  • Foods rich in vitamin to improve immunity

Foods to avoid:

  • Reduce dairy products such as cheese, high fat butter
  • Avoid refined sugars

Specialist to consult

Ophthalmologist
Specializes in the medical and surgical care of the eyes.
Endocrinologist
Specializes in the function and disorders of the endocrine system of the body.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9