MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Mr. lybrate-user, Thanks for the query.
In patients with diabetic retinopathy and laser treatment it is better to avoid taking Sildenafil. Otherwise consult your local doctor and follow his adviceThanks.
Macular edema is the build-up of fluid in the macula, an area in the center of the retina. The retina is the light-sensitive tissue at the back of the eye and the macula is the part of the retina responsible for sharp, straight-ahead vision. Fluid buildup causes the macula to swell and thicken, which distorts vision.
Laser photocoagulation. As noted above, laser photocoagulation had been the mainstay of treatment for DME for almost for the past 25 years, since the publication of photocoagulation results from the ETDRS. ...
TREATMENT OPTIONS FOR RD-
Laser surgery (photocoagulation) With laser surgery, your ophthalmologist uses a laser to make small burns around the retinal tear. Freezing treatment (cryopexy) Scleral buckle.
Pneumatic retinopexy. Vitrectomy.
Phaco Development Program, Fellowship in Pediatric Ophthalmology, DNB Ophtalmology, MBBS
Treatment options include one or more of the following
1. Intravitreal injections (bevacizumab, ranibizumab)
2. Photodynamic therapy
3. Laser photocoagulation of the new vessels success will be based on location, size and duration of disease. The closer to the fovea (most sensitive part of the retina) is is poorer will be the response to therapy. Bigger size and longer duration are also poor prognostic factors.
Laser surgery, the most common type of ROP surgery, in which small laser beams are used to scar the peripheral retina (also called laser therapy or photocoagulation) cryotherapy, where freezing temperatures are used to scar the peripheral retina. You contact me personally to give more advice based on the report which you upload to me.
Currently, there is no cure for DME. However there are effective treatments available. These include anti-VEGF-A and anti-angiogenic treatments that attack factors that contribute to DME, focal laser photocoagulation which stabilizes vision, vitrectomy, a procedure that helps improve visual acuity, and corticosteroid therapy that works by targeting different mechanisms of the disease.
Diabetes is known to cause total and irreparable blindness if not attended in time. It is important that every deiabetic patient if fully examined by an expert ophthalmologist. There are certain drugs which can prevent damage to retina. Once the retina is involved, we cal it diabetic retinopathy which if not attended can lead to vitreous haemorrhage and retinal detachment which finally may lead to total and irreparable blindness. Timely intervention in cases of diabetic retinopathy by oct examination may reveal changes which can be reversed by photocoagulation and more effectively by intravitreal injections of lucentis or avastin.
Corneal neovascularization (new blood vessels growing onto the cornea) is most commonly caused by contact lenses. Other common causes include an inflammation of the eyelids, called blepharitis, or a localized skin condition, called rosacea. Treatment of corneal neovascularization depends on the severity of the condition and the cause. Corticosteroids may be prescribed to reduce vascularization. Surgical options include laser photocoagulation. Reduction or temporary cessation of contact lens wear time may be necessary to allow the tissues to heal.