What treatment is available for diabetic retinopathy?

Doctor's Answers 1

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Dr E-Shawn Goh

Ophthalmologist

Diabetic retinopathy is a complex disease to manage.

It is a complication that affects the eyes of diabetic patients. It occurs when blood vessels of the retina are damaged by diabetes. Initially, you may experience none to mild symptoms; however, if left untreated, it can cause blindness. Symptoms can include:

  • Spots or floaters in your vision
  • Blurred or fluctuating vision
  • Colour vision impairment
  • Dark or empty areas in your vision
  • Loss of vision

The basis of any treatment involves good systemic glycemic control, in addition to good control of any systemic vascular risk factors including blood pressure, cholesterol/lipids, uric acid level control, and stopping smoking.

Depending on the ophthalmic findings, your attending physician will recommend a combination of laser photocoagulation, intravitreal anti-VEGF agents and in certain cases surgery may be required.

Similar Questions

Why are my eyes getting worse in spite of well controlled diabetes?

Thank you for your question. First of all, congrats on improving your diabetic control! Dropping your Hba1c from 9% to 5. 9% is an amazing conscientious effort on your part. 1. What I could not understand is that, how come my blood sugar was well control (5. 9%) but yet there is a deterioration in my eye condition? With too well controlled sugars, you can certainly get tingling sensations which is related to low blood sugar, or hypoglycaemia. It’s your body’s way of telling you that you need to eat.

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What is the TCM basis behind an individual having diabetes?

In TCM, we actually do not have the term diabetes, but it is closely associated with a condition known as ‘Xiao Ke’. ‘Xiao’ literally means emaciation (being abnormally thin) and ‘Ke’ means thirst. This condition is characterized by excessive thirst, excessive hunger, excessive urination and unexplained weight loss. These symptoms can also be observed in diabetic patients, hence we commonly refer diabetes as ‘Xiao Ke’ in TCM. A person’s health is determined by the balance of Yin and Yang in the body.

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