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Macular degeneration and diabetes - 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 : 2004
Answered : 40 Questions
User :   hi
Doctor :   Hello
Doctor :   Dr XXXXXX here
User :   Hello Doc
User :   my uncle is having issues with his eyes
Doctor :   ok
User :   and i wanted to know if there is a proper
User :   treatment
Doctor :   can you give me some of his symptoms
User :   or any particular doctor we can refer to
User :   his vision is going....he cant see straight.... he has been diagnosed with Macular Degeneration (MD)
User :   specially left eye
Doctor :   Does he have any conditions like diabetes as well
User :   yes he does
User :   and hypertension
Doctor :   macular degeneration is more common in diabetics
User :   yes
Doctor :   the treatment involves adequate diabetic care and control of damge of the eyes
User :   but whats the treatment?
User :   is that it?
User :   can he ever get better
Doctor :   yes
Doctor :   it does get better
Doctor :   he will have to consult a opthalmologist , a eye doctor
Doctor :   who will perform a slit lamp examination
Doctor :   and then decide on the mode of treatment
Doctor :   ok
User :   can you tell the best doctor out there
User :   in xxxxx
Doctor :   give me a few minutes
User :   i am waiting
Doctor :   XXXXXXXX Eye care hospital
User :   i just need a doctor who is very good at handling cases like his
Doctor :   In that case, the best treat ment of eye condition is at xxxx eye centre
Doctor :   here all advanced facilities are available
User :   okay
User :   Dr xxxxx, any more inputs on his disease
Doctor :   But for your informaiton, the same high quality treatment can be available in any good hospital
Doctor :   Age-related macular degeneration (AMD) is a disease associated with aging that gradually destroys sharp, central vision.
Doctor :   it is of 2 types dry and wet AMD
User :   so people do get cured?
Doctor :   Wet AMD occurs when abnormal blood vessels behind the retina start to grow under the macula.
User :   and get vision back?
Doctor :   YES
Doctor :   laser surgery, photodynamic therapy, and injections into the eye CAN HELP in treatment
Doctor :   Is there any other question that you may be having ?
User :   he got the injections
User :   but 1 year later
User :   his problems started getting worst again
Doctor :   was his problem , due to the vascular form of MD
Doctor :   Also the progress depends on how his diabetes is controlled
Doctor :   May i know his HBA1C
User :   whats that
Doctor :   HB A1C is the test done to check the progress of DIABETES
Doctor :   its done once in 3 months
User :   not sure
User :   angiography showed scarred membrane
Doctor :   once diabetes is controlled, the eye problems stop worsening and can improve
User :   and subretinal fluid
Doctor :   it is the same, scarring and neovascularisation
User :   oo okay
Doctor :   the retina gets separated and the fluid gets collected blow it
Doctor :   below it **
Doctor :   I hope i have answered your questions
User :   no evidence of chroidal neovascular membrane
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