Diabetes Health

Diabetes and Eyes

Written by Dr. Pratap VGM and medically reviewed by iCliniq medical review team.

 

"EYES are the most beautiful organs created by nature which enables us to have vision. It is very important factor for individuals to be independent in their life"

Diabetes is a metabolic syndrome entity which is characterized by hyperglycemia, high blood pressure and dyslipedemia. It causes various inflammatory reactions, lipid and fibrin deposition in the blood vessels causing arterial narrowing and reduction in the blood flow to the tissues. We call it microvascular complications of diabetes.

The microvascular complications occur in three vital organs :

  • Eyes - Retinopathy, maculopathy, neovascular glaucoma and cataract.
  • Kidney - Nodular Glomerulosclerosis, microangiopathy causing nephtopathy.
  • Nerves - Neuropathy with sensory and motor fibres involved, autonomic neuropathy.

Ocular/Visual Complications :

Here we shall discuss some of the ocular complications of diabetes which can cause permanent blindness if not detected and treated in time.

The complications that we discuss in this article are of utter importance. They are :

  • Diabetic retinopathy.
  • Neovascular glaucoma.

Diabetic retinopathy can be divided into :

  • Non-proliferative stage.
  • Proliferative stage.

We need to detect non-proliferative stages so that we can avoid going in for proliferative stage.

Evaluation:

  • Regular eye check ups once in 6 months which includes fundus examination, intraocular pressure estimation. Visit an opthalmologist and ask for eye examination (diabetic).
  • If you have any complications then there are so many treatment options available but the suitable options will be advised by your ophthalmologist.

Prevention of Ocular Complications :

  • Tight control of diabetes without hypoglycemias is necessary.
  • Blood pressure should be controlled below 130/80 mm of hg.
  • Lipids control, LDL cholesterol should be targeted below 100 mg/dl.
  • Initiation of antioxidants, ACE inhibitors and statins. Please consult your doctor once before starting medicines as each individual will some contraindications.
Last reviewed at: 07.Sep.2018

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