Diabetes Mellitus and the Eye
Posted by on Sunday, 5th April 2009
Diabetes and the Eye
A sweet disease of bitter company
Facts that every Diabetic should know
1. Diabetics are a higher risk of developing eye problems – some of which can lead to irreversible blindness
2. The longer the duration of Diabetes and worse the control – more are the chances of developing eye problems – Repeated Testing and Adequate control over long period of time is the best way
3. Eye Problems can go totally un-noticed unless Vision is tested under standard conditions and retina seen by qualified eye specialist
4. Diabetics are at a higher risk of developing
o Cataract (Safed Motia)
o Glaucoma (Kala Motia)
o Diabetic Retinopathy (Spots on the Retina)
5. Cataract is curable with Surgery and IOL Implant and Glaucoma leads to progressive blindness-which is irreversible.
6. Early Diabetic Retinopathy can be best detected by Fundus Fluroscien Angiography FFA (where a dye is injected into the vein of the hand and Retinal Photographs taken using special light and instruments)
7. Diabetics should have complete eye check up by an Eye Specialist as per guidelines of American Academy of Ophthalmologists recommendations:
o All Diabetics at the time of first diagnoses & of more than 5 years duration of disease – at-least once a year if no retinopathy
o All Diabetics with diagnosed retinopathy, on insulin or unstable control – once every 6 months.
8. Laser and other Forms of Treatment prevent the rapid progress of disease and in some cases can reverse early changes and slow down the onset of irreversible blindness.
Contributed by
Dr.Sanjay Dhawan
M.B.B.S., D.O., M.S.(Ophthal)
Senior Eye Specialist (Gold Medallist)
Mob: 9810635968
Dr.Sanjay Dhawan is Senior Consultant at the Department of Ophthalmology at Maharaja Agarsen Hospital and Max Hospital Pitampura and has a practice at A-52. Meera Bagh. Paschim Vihar. He joins this hospital after a 12 year stint abroad working with various international eye care NGO’s – Sight Savers International of UK and ORBIS International of USA. Can be contacted on Mobile: 9810635968
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Laser Spectacle Removal
Posted by on Sunday, 5th April 2009
Laser Eye Surgery at Aashray Eye and Skin Clinic
A-52. Meera Bagh. New Delhi
The surgery reshapes the cornea
The surgery is intended to reduce a person's dependency on glasses or contact lenses.
A laser is used to permanently change the shape of the cornea, the clear covering in front of the eye
What does the surgery do?
The surgery is done as an out-patient procedure and takes about 14 min per eye.
Local anaesthetic drops are placed in the eye being treated.
An automated rotary blade is used to make a flap in the cornea.
A hinge is left at one end of this flap.
The flap is folded back to reveal the middle part of the cornea. Pulses from a laser vaporise a portion of this and the flap is replaced.
The patient walks out with dark glasses.
How does this improve vision?
People need to wear glasses for different reasons. Some people are said to be short-sighted or myopic. This is due to the cornea being too steeply curved or the eye longer than normal.
Therefore, light rays fall in short of the retina - the area at the back of the eye that interprets the image - and results in blurred distance vision.
Other people are long-sighted or hyperopic because their cornea is too flat or the eye is too short. This means that the light rays focus too far beyond the retina.
Others have a condition where the cornea is oval shaped rather than spherical, called astigmatism. This produces two different focal points which can blur images at all distances.
Laser surgery to reshape the cornea can help to correct these problems.
Will it help with age-related vision loss?
No.
Laser surgery will not be able to cure age-related presbyopia and the need for reading glasses that people often develop in their mid-40's.
This is because presbyopia is not to do with a problem with the cornea. Instead, it occurs when the lens becoming less flexible with age.
Where can I get it?
Private treatment usually costs £1000-1500 in the UK i.e. almost 80000 Rs. In India the best treatments are available in a price range of 20000 to 45000 Rs for both eyes. This being a cosmetic procedure, it is not covered by Medi-claim or Company Insurance.
What are the risks?
Complications occur in less than 5% of cases, according to the Royal College of Ophthalmologists. U.K.
Some people have a problem with dry eyes in the months after surgery and artificial tear supplements might be needed in few weeks after surgery
Many patients have experienced glare or halo effects when night driving, particularly just after treatment. This is more likely the higher the correction that has been made, but is rarely severe. Higher order corrections are possible with Zyoptic Laser or Aspheric Zyoptic.
In rare cases, excessive thinning of the eye wall can cause the shape of the eye to be unstable after treatment. Severe loss of vision is very unusual, but some patients could require corneal surgery or hard contact lenses to restore vision – this complication has been reported in less than 5 patients per million lasiks.
Can both eyes be done on the same day?
Yes.
How long will it take me to recover?
Most patients have a reasonably comfortable period after surgery and are back at work within a few days to a week.
Depending on the vision correction attempted, driving may be unsafe for one to two weeks. Tinted glasses with ultraviolet protection are needed when out in the sun for the first three months.
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