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Unable to see inspite of diabetic retinopathy treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vision and Eye Disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   My mom hav undergone diabetic rectinopathy one month back due to loss of vision, but still she is not able to see anything..
any solution for this
Doctor :   Hi
Doctor :   Iam .Dr.xxxx
Doctor :   May i read your post
User :   sure
Doctor :   Is it photocoagulation therapy?
User :   diabetic rectinopathy
Doctor :   ok
Doctor :   since when she is diabetic?
Doctor :   intensive glucose control in patients with IDDM has decreased the incidence and progression of diabetic retinopathy
Doctor :   The Early Treatment for Diabetic Retinopathy Study (ETDRS) found that 650 mg of aspirin daily did not offer any benefit in preventing the progression of DM retinopathy.
User :   she is diabetic since 15 years
Doctor :   OK
Doctor :   The advent of laser photocoagulation
User :   she too gets vomiting freguently
Doctor :   provided a noninvasive treatment modality
User :   ok
Doctor :   Is she havinh high bp?
User :   yes
User :   but its normal past 2 months
Doctor :   it can be due to high bp
User :   ok
Doctor :   do you have regular checkups?
User :   yes 20 days once
User :   is any chance to recover the sight..
Doctor :   Several medications are currently being used in an off-label manner in the treatment of diabetic retinopath
Doctor :   At present, these medications are administered into the eye by intravitreal injection. Intravitreal triamcinolone is being used in the treatment of diabetic macular edema.
Doctor :   A recent Diabetic Retinopathy Clinical Research Network ( WWW.WWWW.WW clinical trial demonstrated that, although some reduction in macular edema occurred after intravitreal triamcinolone, this effect was not as robust as that achieved with focal laser treatment at the primary endpoint of 2 years.
Doctor :   In addition, intravitreal triamcinolone can have some side effects, including steroid response with intraocular pressure increase and cataracts.
Doctor :   Other medications that are being used in clinical practice and in clinical trials include intravitreal bevacizumab (Avastin) and ranibizumab (Lucentis)
User :   ok
Doctor :   These medications are VEGF antibodies and antibody fragments, respectively.
Doctor :   They can help to reduce diabetic macular edema and also neovascularization of the disc or retina.
Doctor :   Combinations of some of these medications above with focal laser treatment are being investigated in the WWW.WWWW.WW clinical trials.
User :   she too had HRR injection on both eyes
Doctor :   so the treatment is in its developmental stage
Doctor :   ok
Doctor :   was it effective
Doctor :   tight glucose control is to be achieved to reduce the incidence and progression of diabetes complications including diabetic retinopathy for both type 1 and type 2 diabetes
Doctor :   The Early Treatment for Diabetic Retinopathy Study (ETDRS) has found that laser surgery for macular edema reduces the incidence of moderate visual loss (doubling of visual angle or roughly a 2-line visual loss) from 30% to 15% over a 3-year period.
Doctor :   One of the most important aspects in the management of diabetic retinopathy is patient education. patients play an integral role in their own eye care
Doctor :   Excellent glucose control is beneficial in any stage of diabetic retinopathy. It delays the onset and slows down the progression of the diabetic complications in the eye.
Doctor :   Other systemic problems, such as hypertension, renal disease, and hyperlipidemia, may contribute to the progression of the retinopathy and should be addressed promptly.
Doctor :   Smoking, although not directly proven to affect the course of the retinopathy, may play a role in further compromising oxygen delivery to the retina. Therefore, all efforts should be made in the reduction, if not outright cessation, of smoking.
Doctor :   Smoking, although not directly proven to affect the course of the retinopathy, may play a role in further compromising oxygen delivery to the retina. Therefore, all efforts should be made in the reduction, if not outright cessation, of smoking.
Doctor :   DM in general and diabetic retinopathy in particular are progressive conditions such that regular follow-up care with a physician is crucial to detect any changes that may benefit from treatme
Doctor :   did you understand what i said?
Doctor :   is there anything else i can help you with now?
User :   i got it thanks a lot
Doctor :   thanks for consulting...
Doctor :   bye for now...........
User :   but my question is any chance for vision is she undergoes the above process
User :   hi
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