1 / 17

Diabetes and the Eyes

Diabetes and the Eyes. Kenyon Anderson, O.D. Blindness Risk. Diabetic eye disease, caused by diabetes, is a leading cause of blindness and vision loss. -Prevent Blindness America. Diabetic Eye Disease. Diabetic Retinopathy Damage to blood vessels in retina Cataracts

dannon
Download Presentation

Diabetes and the Eyes

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Diabetes and the Eyes Kenyon Anderson, O.D.

  2. Blindness Risk Diabetic eye disease, caused by diabetes, is a leading cause of blindness and vision loss. -Prevent Blindness America

  3. Diabetic Eye Disease • Diabetic Retinopathy • Damage to blood vessels in retina • Cataracts • Clouding of the lens in the eye, more likely to develop earlier with diabetes • Glaucoma • Damage to nerves and optic nerve causing vision loss; nearly twice as likely to develop with diabetes -National Eye Institute

  4. Diabetic Eye Disease • MEDICAL condition • Eye health examinations, treatment, progression monitoring are covered by MEDICAL INSURANCE Thus can be billed to Medicare/Medicaid, Blue Cross, Aetna, Regence….etc…..

  5. Diabetic Retinopathy (DR) • What is diabetic retinopathy? • What are the stages of damage? • What is the treatment? • What are the risk factors? • What should I do?

  6. What is Diabetic Retinopathy? • Damage to the small blood vessels in the retina. • Weakening of the blood-retina barrier causing leakage, thickening, swelling, ischemia (lack of oxygen), and other damage

  7. Stages of Diabetic Retinopathy • Mild Nonproliferative Diabetic Retinopathy • Moderate Nonproliferative DR • Severe Nonproliferative DR • Proliferative DR • With or without Clinically Significant Macular Edema

  8. Mild Nonproliferative DR • Earliest Stage • “Dot/blot” hemorrhages • Microanuerysms • No treatment • Regular dilated eye exams

  9. Moderate Nonproliferative DR • Lack of oxygen and nutrients • Possible blockage of vessels • More progressed

  10. Severe Nonproliferative DR • More significant damage in retina • Similar vascular damage, more severe

  11. Proliferative DR • Ischemia, significant lack of oxygen and nutrients • New blood vessel growth (neovascularization)

  12. Diabetic Macular Edema • Swelling of the macula • May be evident at any stage of diabetic retinopathy • Requires treatment • Central Vision

  13. Treatment • Laser treatment • Focal laser treatment – specific spots of laser • PRP – Panretinal Photocoagulation – scattered laser • Laser to retina that causes scarring • Reduces demand for oxygen to retina See Me Now?

  14. Treatment continued… • Vitrectomy – exchange of fluid in vitreous • Removes blood from vitreous • Injections • Anti-VEGF Injections – Vasoendothelial Growth Factor • Causes new blood vessel growth to stop and even some reversal. • Steroid Injections – Occasionally used for edema

  15. Risk Factors • Duration of diabetes • Poor blood sugar control • Hypertension • High cholesterol • Smoking • Pregnancy

  16. Take Home • Annual Dilated Eye Examination, regardless of visual acuity • Diet, healthy nutritional guidelines • Exercise regularly • No smoking • Medical eye exams = Medical Insurance

  17. THE ENDTHANK YOUAny questions?

More Related