Do you know about diabetes? Not only is it ubiquitous, but it can also be a hidden culprit in blinding.
Diabetes is a common chronic disease, and the longer it is present, the higher the prevalence of diabetic retinopathy. According to data analysis, people who have suffered from diabetes for 5 years have a 25% chance of developing retinopathy; For those who have been sick for 10 years, the chance rises to 60%; People who have been sick for 15 years have a 75% chance of getting the disease; After 25 years, it was as high as 97%.
Diabetic patients should have early fundus examination, adhere to a healthy lifestyle, and follow an effective follow-up plan to achieve early prevention and treatment of diabetic retinopathy. Fundus examination is routinely performed every year, and early and timely management of the course of the disease is more effective.
Diabetic retinopathy**.
Diabetes control: In early retinopathy, blood sugar control can better curb the deterioration of diabetic retinopathy, mainly dietary control, exercise and medication to lower blood sugar, and regularly check fasting blood sugar and glycosylated hemoglobin. Active control of blood glucose, blood lipids, and blood pressure is the key to the prevention and treatment of diabetic retinopathy and its progression.
Improve microcirculation drugs**: Calcium oxybenzenesulfonate can reduce the high viscosity of blood and inhibit the synthesis and release of platelet aggregation factor. It can alleviate or stop the leakage of retinal microvessels, reduce the synthesis of vasoactive substances, and prevent the thickening of the basement membrane of microvessels. It can improve early diabetic retinopathy such as microhemangioma, hemorrhage, and hard exudation.
Laser condensation**: Laser is currently the most commonly used method for proliferative diabetic retinopathy, which directly coagulates and seals neovascularization through laser, stops retinal edema and vitreous hemorrhage, resolves neovascularization, and reduces the risk of hemorrhagic scarring.
Vitrectomy: Surgical excision of the opacity or bloody vitreous can inhibit the occurrence and development of vitreoretinal proliferation, relieve the fibroproliferative membrane to the retina, so that the retinal anatomical reduction can prevent retinal detachment or direct retinal detachment.
Anti-VEGF**: For macular edema complicated by diabetic retinopathy, patients can also inhibit the extension of new blood vessels in the fundus by injecting drugs, so as to control the progression of the disease.
Diabetic retinopathy is a preventable, controllable, and avoidable blinding eye disease, and early diagnosis and effectiveness** are essential to delay the progression of the disease and reduce vision loss. Diabetic patients should be followed up regularly and receive necessary and appropriate retinal photocoagulation**, and 90% of severe visual impairment caused by sugar reticulum can be avoided.