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Diabetic retinopathy questions!
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<blockquote data-quote="McMittens" data-source="post: 669508" data-attributes="member: 38511"><p>Hello!!</p><p>What we look for are indeed those microaneurysms which are small bleeds/swelling of blood vessels at the back of the eye and yes these occur in both type 1 and 2 diabetics.</p><p>There are general stages with diabetic retinopathy which are:</p><p></p><ul> <li data-xf-list-type="ul"><strong>Stage one: background retinopathy</strong> – tiny bulges (microaneurysms) appear in the blood vessels of your eye, which can leak blood.</li> <li data-xf-list-type="ul"><strong>Stage two: pre-proliferative retinopathy</strong> –more severe and widespread changes are seen in the retina, including bleeding into the retina.</li> <li data-xf-list-type="ul"><strong>Stage three: proliferative retinopathy </strong>– new blood vessels and scar tissue will have formed on your retina, which can cause loss of vision.</li> <li data-xf-list-type="ul"><strong>Stage four: advanced diabetic retinopathy </strong>– this can cause either bleeding into the eye, resulting in sudden loss of vision (vitreous haemorrhage) or <a href="http://www.nhs.uk/conditions/Retinal-detachment/Pages/Introduction.aspx?url=Pages/What-is-it.aspx" target="_blank">retinal detachment</a>. This is when the retina pulls away from the wall of the eye and a layer of blood vessels</li> </ul><p></p><p>What causes the patient to have diabetic retinopathy is high blood sugar levels which can damage those tiny vessels that supply blood to your retina. But also even if you had background retinopathy - you may not always have it, those little bleeds can actually go away with better control of the diabetes. I also hate to say this but the longer you have had diabetes the greater the chance of developing retinopathy - I'm not trying to scare anyone one this forum as I have seen patients with Type 1 diabetes who have had it for 30+ years and have healthy/normal eyes!</p><p></p><p>Treatment usually happens when you have what we consider "sight threatening retinopathy" and yes currently this is laser treatment and also injections into the eye. The type of laser we use is called photocoagulation.</p></blockquote><p></p>
[QUOTE="McMittens, post: 669508, member: 38511"] Hello!! What we look for are indeed those microaneurysms which are small bleeds/swelling of blood vessels at the back of the eye and yes these occur in both type 1 and 2 diabetics. There are general stages with diabetic retinopathy which are: [LIST] [*][B]Stage one: background retinopathy[/B] – tiny bulges (microaneurysms) appear in the blood vessels of your eye, which can leak blood. [*][B]Stage two: pre-proliferative retinopathy[/B] –more severe and widespread changes are seen in the retina, including bleeding into the retina. [*][B]Stage three: proliferative retinopathy [/B]– new blood vessels and scar tissue will have formed on your retina, which can cause loss of vision. [*][B]Stage four: advanced diabetic retinopathy [/B]– this can cause either bleeding into the eye, resulting in sudden loss of vision (vitreous haemorrhage) or [URL='http://www.nhs.uk/conditions/Retinal-detachment/Pages/Introduction.aspx?url=Pages/What-is-it.aspx']retinal detachment[/URL]. This is when the retina pulls away from the wall of the eye and a layer of blood vessels [/LIST] What causes the patient to have diabetic retinopathy is high blood sugar levels which can damage those tiny vessels that supply blood to your retina. But also even if you had background retinopathy - you may not always have it, those little bleeds can actually go away with better control of the diabetes. I also hate to say this but the longer you have had diabetes the greater the chance of developing retinopathy - I'm not trying to scare anyone one this forum as I have seen patients with Type 1 diabetes who have had it for 30+ years and have healthy/normal eyes! Treatment usually happens when you have what we consider "sight threatening retinopathy" and yes currently this is laser treatment and also injections into the eye. The type of laser we use is called photocoagulation. [/QUOTE]
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