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Diabetic Retinopathy

A Leading Cause of Blindness

eyes

Diabetic retinopathy stands for chronic diabetes going on causing progressive damage to the retina in a slow and gradual process.

It may even lead to blindness.

In fact, it is one of the leading causes of blindness among masses.

Diabetes has a tendency to damage the blood vessels in the retina.

Both type 1 as well as type 2 diabetes, are equally dangerous for the retina.

eyes

The condition has two states:

  • Non-proliferative Diabetic Retinopathy: The blood vessels in the retina start leaking and as a result, vision starts getting blurred.


    Non-proliferative Retinopathy

    Diabetic Retinopathy


  • Proliferative Diabetic Retinopathy: In the latter stage, new blood vessels start growing and these are quite fragile. They tend to bleed even more, scar the retina and cause more vision loss.


    Proliferative Retinopathy

    Diabetic Retinopathy


The symptoms of diabetic retinopathy include:

  • Poor Night Vision:

  • Eye Floaters:

  • Blurred vision:

  • Blindness:


Normal Vision
Diabetic Retinopathy

Credit: National Eye Institute, National Institutes of Health


...and as it might be viewed by a person with diabetic retinopathy:

Diabetic Retinopathy

Credit: National Eye Institute, National Institutes of Health


But these symptoms are in no way the exclusive ones and one may be having diabetic retinopathy without a single one of them being there along. They may only appear after the illness has entered its most advanced stage.

Hence the diabetics should always be extra cautious regarding their eyes getting regularly tested.

There are different kinds of eye tests available for diabetic retinopathy. Retinal Photography Test is one of them.

Treatment aims at controlling blood sugar, blood pressure, and cholesterol.

But the damage that has already been done, can not be reversed.


Scatter Laser Surgery for Diabetic Retinopathy.

Diabetic Retinopathy

Credit: National Eye Institute, National Institutes of Health


Laser surgery stops leaking of blood from the blood vessels and shuts down the newly developed fragile blood vessels.


Focal Laser Surgery for Diabetic Retinopathy

Diabetic Retinopathy

Credit: National Eye Institute, National Institutes of Health


Another surgical procedure called vitrectomy tends to stop bleeding into the eye as well as repair retinal detachment too!

But alas! The vision that has already been lost is lost for good. At least that is what the stand of ophthalmology is.

But in the words of the famous American ophthalmologist Dr. W.H.Bates:

'Not only do all errors of refraction and all functional disturbances of the eye disappear when it sees by central fixation, but many organic conditions are relieved or cured.'

'I am unable to set any limits to its possibilities. I would not have ventured to predict that glaucoma, incipient cataract and syphilitic iritis could be cured by central fixation; but It is a fact that these conditions have disappeared when central fixation was attained. Relief was often obtained in a few minutes, and, in rare cases, this relief was permanent.'


In background retinopathy, a slight deterioration in the small blood vessels of the retina, portions of the vessels may swell and leak fluid into the surrounding retinal tissue.

Diabetic Retinopathy

Credit: National Eye Institute, National Institutes of Health


'Usually, however, a permanent cure required more prolonged treatment. Inflammatory conditions of all kinds, including inflammation of the cornea, iris, conjunctiva, the various coats of the eyeball and even the optic nerve itself, have been benefited by central fixation after other methods had failed.'

Vision therapy is currently working on these lines only, in order to restore the vision already lost due to it, or preventing it through third eye opening - which is another name for central fixation of the eye but achieved in a biologically more objective and hence, a very quick way.



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