Why Every Diabetic Patient Living in Delhi NCR Should Have a Retina Specialist

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Why Every Diabetic Patient Living in Delhi NCR Should Have a Retina Specialist

Diabetes is a condition that affects millions of people worldwide, and there are over 100 million people with diabetes in India, making India the country with the most diabetes-related cases. India has the largest percentage of diabetic patients of any country, and Delhi NCR has the highest levels of diabetes amongst all major Urban areas in India due to the sedentary lifestyle, high-calorie diets, genetics, and stress levels associated with working in large cities.

If you live with diabetes in Delhi NCR, you must see a retina specialist and get an appointment from the Best ophthalmologist in Delhi. Diabetes can affect your vision as well as your blood sugar levels, and can damage your vision without notice.

Diabetic Retinopathy is the most common microvascular complication of diabetes and is also the leading cause of blindness in vivacity aged adults; this condition results when high blood sugar levels damage the small blood vessels that provide blood to the retina, which is the part of the eye located at the back of the eye that captures/focuses images through light into electrical signals that can be interpreted by the brain.

The Progression No One Sees

One of the biggest dangers of diabetic retinopathy is that it can progress to a more advanced form due to its lack of symptoms early on. During the early stages of diabetic retinopathy - Non-Proliferative Diabetic Retinopathy (NPDR) - blood vessels in the retina become weak and develop very small bulges (microaneurysms). These can leak fluid or blood into the retina and can result in vision changes that the patient may attribute to being tired or needing new glasses. There is no pain or redness, and many patients don't notice any changes at all.

As diabetic retinopathy progresses to Proliferative Diabetic Retinopathy, the retina attempts to compensate for poor blood supply by creating new, abnormal blood vessels or neovascularisation. As these new blood vessels are very fragile, they can bleed into the vitreous cavity (the gel-like substance that fills the eyeball) and cause sudden and severe visual changes. At this stage, the risk of permanent vision loss is increased.

Another related complication of diabetic retinopathy is Diabetic Macular Oedema (DMO). By definition, DMO is the accumulation of fluid in the macula, the central portion of the retina responsible for precise and central vision. DMO can develop at any stage of diabetic retinopathy, but it is most common in the earlier stages of diabetic retinopathy (before the proliferative stage) and is the leading cause of vision loss in diabetic patients.

What Treatment Involves

The course of action for treating diabetic retinopathy depends on how far along the patient is in the disease process. Early disease is treated with tight control of blood sugar, blood pressure, and cholesterol levels. These measures help to slow down the rate at which someone will experience further damage to their retina (systemic management of retinal damage). The disease requires clinical intervention only after it has progressed.

For proliferative diabetic retinopathy (PDR), Laser photocoagulation (also known as Pan-Retinal Photocoagulation or PRP) will be utilized to use focused laser energy to ablate leaking blood vessels as well as decrease the stimuli for abnormal vascular area growth so that they do not grow in the future. Laser photocoagulation has been recognized as the primary treatment modality for patients suffering from PDR.

Another common treatment option for diabetic macular edema (DME) has now become the use of intravitreal injections of anti-VEGF medications (vascular endothelial growth factor), which inhibit the production of the protein that stimulates the growth of abnormal blood vessels. Evidence has demonstrated that patients with DME treated with anti-VEGF medications are highly likely to have retained or improved vision.

Lastly, in the events that patients are experiencing significant bleeding into their vitreous cavity or a tractional retinal detachment, surgical intervention (vitrectomy) is necessary to remove the bleeding from the vitreous cavity and restore the normal structure of the retina.

The Reality In Delhi NCR For Eye Hospitals

For diabetic retinopathy to have the best possible ongoing success requires that patients throughout Delhi, Noida, Indirapuram, and Ghaziabad have access to specialist retina clinics in proximity. Rapid deterioration of sight due to complications from diabetes can occur at a very fast pace. There can be a dramatic difference in improving vision if a vitreous haemorrhage is identified early on, as compared to identifying it weeks later.

Thus, searching for the Best eye Hospital in Delhi NCR with dedicated retina services is critical. Many facilities that provide routine eye examinations do not have the proper imaging technology, surgical facilities, and/or specialist expertise required for advanced retina disease management. Look for facilities with Optical Coherence Tomography (OCT) tools to assess the retinal layers, Fluorescein Angiography (FA) capabilities for mapping retinal blood vessels, an intravitreal injection setup, and an associated team of vitreoretinal surgeons.

The Rule Every Diabetic Must Follow

Every diabetic must have a full retinal examination performed at least every 12 months, regardless of how well their blood sugars are controlled or any visual symptoms that they might have present. If a diabetic has already been diagnosed with any degree of diabetic retinopathy, the frequency of their examination will be much greater  based upon the degree of severity of the retinopathy. The recommendation for how often diabetics should be having retinal evaluations is a clinical standard supported by all the major ophthalmological associations worldwide and is based on the fact that the opportunity to intervene in the condition is broader when the condition is detected early, and the opportunity is narrow when it is not diagnosed until some point after it has been present for a period of time.

If you are diabetic and have not had a retinal evaluation performed in the past 12 months, you are overdue for the evaluation. Do not delay your appointment to see an optometrist for your retina evaluation until you develop symptoms; do so; do it now!

Book your appointment today with our expert and see the world more clearly. 

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