Symptoms Diagnostics Treatment Why choose us Prices
According to reports from WHO (World Health Organization) patients who have diabetes for 15 or more years in 80-95% of cases have specific changes in their eyes such as diabetic retinopathy. The appearance of this pathology is equally probable in patients with diabetes type 1 and 2, in addition, diabetes increases the risk of developing cataracts and glaucoma.
One feature of diabetic retinopathy is the fact that about half of patients over a long period of having this disease, do not notice any going sight changes, referring the impairment to other causes. Therefore the disease is often diagnosed late, only after the development of complications.
Disease progression
Diabetes is accompanied by a change in the structure of the endothelium (inner lining) of blood vessels, including ones that supply the retina, and certain metabolic disorders. The permeability of retinal vessels is disturbed, as a result various undesirable substances enter the retina and eye tissue oxygen supply is deteriorated. During going changes the formation of microaneurysms is observed, growth of abnormal blood vessels, petechial hemorrhages. With time described disorders progress, leading to severe visual impairment and blindness.
Stages of retinal retinopathy
There are three stages (forms) of diabetic retinopathy: nonproliferative, preproliferative and proliferative.
Background (nonproliferative) retinopathy appears at the initial stage of the disease. It is characterized by an increased permeability of retinal vessels, formation of microaneurysms, retinal edema. All changes develop gradually, the outcome of their gradual is deterioration of vision, formation of microbleeds and deposition of solid exudate along the vessels in the macular area (preproliferative stage of retinopathy).
Proliferative retinopathy is the stage of expressed disorders in the blood supply of the retina, accompanied by the growth of abnormal blood vessels which is determined by functional failure. At this stage of the disease macular edema is also often observed. Proliferative retinopathy is one of the most frequent causes of blindness in patients of working age.
Symptoms of diabetic retinopathy
The changes that occur in the retina are painless and gradual, so the patient may not notice vision loss. Appearing dots before the eyes ("flies"), veil, dark spots (signs of microbleeds in the vitreous body and retina) will eventually disappear by themselves, so patients can choose to ignore these symptoms. Because of suffering from diabetes is observed in people of retirement age, they often refer their complaints to "age" vision changes and do not go to an ophthalmologist. That is why patients with diabetic retinopathy who refer to the doctor already have some complications. When massive hemorrhage there is high risk of irreversible vision loss.
Patients suffering from diabetes, regardless of the presence or absence of complaints, should be examined at least twice a year to prevent complications and preserve vision. If you have any complaints concerning the condition of your eyes, you must consult a doctor immediately!
Diagnostics
Thorough diagnostic testing allows to identify early symptoms of diabetic retinopathy. To assess the state of the retina is used the measurement of the vision acuteness, perimetry (study of visual fields), ultrasound scanning, measurement of intraocular pressure, fundus examination, etc.
Diabetic retinopathy treatment
Treatment of diabetic retinopathy should be comprehensive, based on the identified changes and stage of disease. All patients' efforts should be directed at maintaining normal blood sugar level to avoid progression of the disease. Methods of treatment depend on the stage of the disease. When developed retinopathy and identified neovascularization patients are recommended laser treatment – laser coagulation of the retina. This method is the only uncontested effective method in combating with existing changes in the retina. The procedure is performed in "one day" mode and does not require hospitalization, it is performed under local anesthesia. The laser can destroy the zone of hypoxia in the retina, "sear" fragile new blood vessels to improve the flow of oxygen to the tissues of the retina and reduce swelling. For patients with proliferative retinopathy is recommended total laser treatment of the retina (panretinal laser coagulation). The earlier the treatment starts, the more effective the treatment is and the more favorable the prognosis is for saving the patient's vision.
The benefits of diabetic retinopathy treatment in Moscow Eye Clinic
Moscow Eye Clinic is equipped with the best samples of equipment of leading world manufacturers, which allows our specialists to identify even the smallest changes in the eye during diagnostic examination. Accurate early diagnosis allows you to choose the effective treatment to avoid development of disabling complications and to preserve vision in patients with diabetic retinopathy.
In our clinic work the best specialists with impeccable reputation, who are highly esteemed among theirs colleagues and patients. The clinic has a doctor of the highest category Estrin Leonid Grigorievich, with over 30 years of dealing with laser treatment. All visitors of the clinic are guaranteed to get the attention, individual approach and application of the most effective modern methods of treatment.
Specialists of our clinic developed a program of a course of treatment of patients with diabetic retinopathy aimed at the preservation and restoration of visual functions, the duration of which is 10 - 15 days, including the use of medical leeches (hirudotherapy).
For the convenience of patients there is day hospital, which provides the ability to obtain timely medical assistance to fullest. The day hospital operates seven days a week, without days-off, our specialists take in patients from 9 a.m till 9 p.m.
Prices of treatment
The cost of treatment depends on the severity of diabetic retinopathy and other individual factors - according to this treatment regimen is selected, which may include laser treatment (the price of sectoral photocoagulation of the retina is 9 000 RUB for one eye), parabulbar and intravenous injections etc.
In addition, in Moscow Eye Clinic is developed a specialized integrated treatment program for patients with diabetic retinopathy, which allows you to maintain and improve visual functions in this eye disease.
You can clarify the cost of a procedure by calling 8 (800) 777-38 81 and (499) 322-36-36, or online using the appropriate form on our site, you can also read the section "Prices".
Go to the section "Prices" >>>
