Home World News Diabetes has been untreated for 10 years and the risk of retinopathy has been ignored. Dr. Tao of Blindness Ministry understands the key in 1 picture.

Diabetes has been untreated for 10 years and the risk of retinopathy has been ignored. Dr. Tao of Blindness Ministry understands the key in 1 picture.

0
Diabetes has been untreated for 10 years and the risk of retinopathy has been ignored.  Dr. Tao of Blindness Ministry understands the key in 1 picture.

A 50-year-old woman has had diabetes for more than 10 years, but she is busy at work and has never had a retina checkup. At the beginning of the year, she had sought medical attention due to rapid deterioration in the vision in both her eyes. She went to Taoyuan Hospital of the Ministry of Health and Welfare in Taiwan for an eye examination. Diabetic retinopathy was found to cause macular edema and vitreous edema in both eyes. Hemorrhages, almost blindness in both eyes. Doctors remind that diabetic retinopathy is the main cause of blindness in diabetic patients and regular checkups should be done to avoid permanent damage to vision due to this disease.

Wang De’an, an ophthalmologist at Taoyuan Hospital of the Ministry of Health and Welfare, explained that the effect of high blood sugar on blood vessels is systemic and sustained damage. There are many capillaries in the retina. When high blood sugar causes capillary blockage and leakage, diabetic retinopathy will occur.

Wang Dean explained that diabetic retinopathy is a chronic disease that gradually worsens. The longer you have diabetes, the greater the chance of retinopathy. In the early stages of diabetic retinopathy, bleeding, vascular blockage and leakage will occur. Once uncontrolled, more new blood vessels will form. At this time, it may be complicated by vitreous hemorrhage, resulting in significant loss of vision and blurred vision. Before the eyes. In addition, it can also cause “macular edema”, which can lead to vision loss, distortion, and dark shadows.

If diabetic retinopathy worsens over a long period of time, vitreous fibrosis and retinal detachment will occur. Symptoms include blurred vision, visual field defects, etc. In the late stages of the disease, “neovascular cataracts” may occur. The patient will have blurred vision, red eyes, and pain. If not treated as soon as possible, the patient may suffer permanent visual field loss or even blindness. Wang D’an suggests that diabetic patients should have a fundus examination or at least a fundus photography screening every year. If diabetic retinopathy occurs, the doctor should arrange follow-up and treatment based on the clinical condition, and actively control blood sugar and adjust lifestyle.

Wang D’an reminded that early diabetic retinopathy usually has no obvious symptoms, so patients ignore the importance of fundus screening. Patients with type 1 diabetes are advised to have a fundus examination within 5 years after diagnosis; Patients with type 2 diabetes are recommended to have a fundus examination at the time of diagnosis; Patients with gestational diabetes are advised to have a fundus examination between conception and conception. First trimester, and follow up to postpartum according to the condition of the fundus. Diabetics should have frequent and regular fundus examinations to reduce the risk of blindness caused by retinopathy.

Wang D’an reminded that early diabetic retinopathy usually has no obvious symptoms, so patients often ignore fundus screening. (Provided by Taoyuan Hospital, Ministry of Health and Welfare)

Health