Diabetic retinopathy treatment in bangalore | Manjunatha Nethralaya




The area where the image of the sight will be projected is called Retina. For general understanding, it is like the Theatre screen wherein the image will be project for clarity. Those images will be neurologically coded and is sent to the brain to experience the feeling.

This sub-specialty is very critical because diseases affecting the retina has to be managed immediately for major cases. It may so happen many times that by the time we diagnose the condition, the vision may be permanently lost.

Retinal complication due to the complication of diabetes, and is termed Diabetic Retinopathy. Because of damage to blood vessels, the vision is grossly impaired and patient experiences loss of vision in some areas as seen in the image.

What is Diabetic Retinopathy?

Diabetic retinopathy is caused to high blood sugar levels damaging the retina of the eyes in diabetics.Untreated or undiagnosed diabetic retinopathy can lead to blindness.

Am I at risk of developing diabetic retinopathy?

Any diabetic person with 1 or type 2 diabetes has a lifetime risk of developing diabetic retinopathy.

How can I minimize my risk of DIABETIC RETINOPATHY

Keep a check on diabetes,
blood pressure & cholestrol.

Annual diabetic eye screening to detect
and treat any eye problems early.

If you are Diabetic Prevent Diabetic Retinopathy ACT

Control Over diabetes can reduce the risk of Diabetic Retinopathy

Management How is diabetic retinopathy treated?

It has affected the center (macula) of the retina. Abnormal new blood vessels have started to appear. (This is called proliferative retinopathy.) 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. Controlling your blood sugar levels is always important. This is true even if you've been treated for diabetic retinopathy 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. Treatment options.

  • Laser treatment usually works very well to prevent vision loss if it's done before the retina has been severely damaged. It may also help with macular edema.
  • 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.
  • 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.
  • This surgery is also done when severe scar tissue has formed. It can be used to treat macular edema.
  • Anti-VEGF (vascular endothelial growth factor) or an anti-inflammatory medicine
  • 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.
  • 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. Sometimes an implant, such as Iluvien, may be placed in the eye. The implant releases a small amount of corticosteroid over time.
  • Many people with diabetic retinopathy need to be treated more than once as the condition gets worse.

The layer of the eye where the image is displayed some times peels off causing visual impairment. Patients will have clear-cut symptom wherein the vision is layered out and it will be the classical sign of the condition.

Branch retinal artery occlusion

Central retinal artery occlusion

Branch retinal vein occlusion

Central retinal vein occlusion

Treatment depends on the type of AMD you have. Dry AMD – there's no treatment, but vision aids can help reduce the effect on your life. Read about living with AMD. Wet AMD – you may need regular eye injections and, very occasionally, a light treatment called photodynamic therapy, to stop your vision getting worse.

Dry Macula Degeneration

Wet Macula Degeneration

There are 2 types of AMD: dry and wet. Most people with AMD have dry AMD (also called atrophic AMD). This is when the macula gets thinner with age. Dry AMD happens in 3 stages: early, intermediate, and late.

Dry AMD Macula

Normal AMD Macula

Wet AMD Macula

Injection we use in macular

Conglomerate of many conditions that can be genetic or acquired. The main symptom of this eye condition is tunnel vision. This retinal condition may not have any external manifestation but can be clinically diagnosed by its classical symptoms.