Retinopatia diabetica

Basic notitia

causas

Complicanze microvascolari causate dal diabete.

Fuscemanifestations

Ci sono visione offuscata, visione ridotta, cecità, ecc.

inspicienda

Fundoscopyorcolorphotographicexaminationofthefunduscanconfirmthediagnosis.Butiftherearebleedingspotsinthefundus,itisrecommendedtodofundusfluoresceinangiography,sothatyoucanmoreclearlyunderstandthedegreeofdiabeticretinopathy.

Diabetic retinopathy

Curatio

Inrecentyears,rapidadvancesinmedicaltechnology,especiallytheemergenceofanti-angiogenesisdrugs,havegivenmoreoptionsforthetreatmentofdiabeticretinopathy,suchaslasercombinationIntravitrealinjectionofanti-angiogenicdrugswillhaveabettereffectonthecontrolofmacularedema;forexample,incaseswhereneovascularizationhasalreadyoccurred,intravitrealinjectionofanti-angiogenicdrugscanhelptheretreatofneovessels,especiallyinneovascularization.Whenlasertreatmentisnotpossibleontheopticnervehead;insomecaseswithadvanceddiabeticretinopathyandsurgery,youcanalsoinjectdrugsbeforesurgery,whichcanreduceintraoperativebleeding.

Therearetwosituationsthatneedlasertreatment,oneismacularedema.Manystudieshaveshownthatcarefulandweakscatteredlaserphotocoagulationinthemacularareacanreducebloodvesselleakage,therebyreducingedemaandimprovingvision.Second,whenitisfoundthattherearenewbloodvesselsintheretina,ortherearelargeretinalbloodvesselswithoutbloodsupply,atthistime,inordertoshrinkthenewbloodvesselsorpreventthegrowthofnewbloodvessels,so-calledpan-retinallaserphotocoagulationisperformed.

Itisimportanttoemphasizetheimportanceoflaserphotocoagulationinthetreatmentofdiabeticretinopathy.Thecorrectlaserphotocoagulationtreatmentistheprotectorofvisionforpatientswithdiabeticretinopathy!Moreover,thelaserdoesnotjusthititonceorseveraltimes.Forpatientswithdiabeticretinopathy,lasertreatmentmayberequiredatanytimeduringtheregularreviewprocess.Asforhowtoperformlasertreatmentandwhentoperformlasertreatment,followthedoctor’sadvice.Generallyspeaking,pan-retinallaserphotocoagulationwillbedonein3to4times.Itisnotrecommendedtodotoomuchatonetime,toomuchwillcauseaggravationofedema.

Manypatientsfailtoreceivelasertreatmentintime,leadingtovitreoushemorrhage,retinalneovascularization,organizingproliferativemembraneformation,andretinaldetachment,leadingtoblindness.Onthecontrary,iflasertreatmentistimelyandappropriate,thissituationcanbecompletelyavoided.

Ifthebloodsugarofthediabeticpatientisnotwellcontrolled,andthelasertreatmentisnotperformedintime,theretinopathydevelopstotheproliferativestage,thevitreoushemorrhagedoesnotabsorbformorethan1month,ortheretinahasaproliferativemembrane,andthereisretinaldetachment,whichwillaffectCentralvisionmustbetreatedsurgically.Thepurposeoftheoperationistoclearthebleeding,peelofftheproliferativemembrane,reattachtheretina,andfurtherstrengthenthelaserphotocoagulationtreatment.Twopointsmustbereminded:First,itiscurrentlyunanimouslyrecognizedthattheoperationshouldbeearlyandnotdelayed.Generally,thebleedingcannotbeabsorbedforaboutonemonth,andsurgeryandlasertreatmentshouldbeperformed.Don'twaituntiltheproliferativemembranehasmanynewbloodvesselsandtheretinaldetachmentissolargethattheproliferativemembranecannotberemovedduringtheoperation.Thesecondistorealizethatoncethediabeticretinopathyreachesalargenumberofproliferativemembranes,thecurativeeffectofsurgeryisgenerallyunsatisfactory.Don'texpecttoomuchinthisregard.Therefore,itisemphasizedagain:closereview,follow-up,andearlytreatment.

Confusionofdiabeticretinopathy

Ifdiabeticpatientshavepoorbloodsugarcontrolanddonotreceivetimelyandcorrectlasertreatment,retinopathywillprogresstotheproliferativestage,andvitreoushemorrhagewillnotbeabsorbedformorethan1month.,Ortheretinahasaproliferativemembrane,andthereisretinaldetachment,whichaffectsthecentralvisionandmustbetreatedwithsurgery.Thepurposeoftheoperationistoclearthebleeding,peelofftheproliferativemembrane,reattachtheretina,andfurtherstrengthenthelaserphotocoagulationtreatment.Twopointsmustbereminded:First,itiscurrentlyuniversallyrecognizedthattheoperationshouldbedoneearly,...

ChiefphysicianChenYouxin,PekingUnionMedicalCollegeHospital,DepartmentofOphthalmologyfrom:EncyclopediaofFamousMedicalNetworks

Howisdiabeticretinopathystaged?

Diabeticretinopathycanbedividedinto6stages:stageImicrovasculartumorappearsinthefundus.Thiskindofmicrovasculartumorisnotarealtumor,butisformedbythewindingandflexingofthecapillariesofthefundus.Inthesecondstage,hardexudationappearedonthebasisofmicroangioma,whichisthefattyplaqueleftbehindafterretinaledema.StageIIIischaracterizedbytheappearanceofsoftexudates,whicharescarsleftbyspottinghemorrhagesonthefundus.StageIVisthebeginningofproliferativeretinopathy,whichischaracterizedbytheappearanceofneweyesatthefundus...

DepartmentofEndocrinology,PekingUnionMedicalCollegeHospital,ChiefPhysicianXiangHongdingFrom:EncyclopediaofFamousMedicalNetworks

Isitnecessarytouselaserfordiabeticretinopathy?

Laserphotocoagulationisveryimportantinthetreatmentofdiabeticretinopathy.Ifthereisnolaserphotocoagulation,itisunknownhowmanypatientswillbeblind.Thecorrectlaserphotocoagulationtreatmentistheprotectorofvisionforpatientswithdiabeticretinopathy!Moreover,thelaserdoesnotjusthititonceorseveraltimes.Forpatientswithdiabeticretinopathy,lasertreatmentmayberequiredatanytimeduringtheregularreviewprocess.Asforhowtoperformlasertreatmentandwhentoperformlasertreatment,thisis...

DepartmentofOphthalmology,PekingUnionMedicalCollegeHospital,ChiefPhysicianChenYouxincomesfrom:BaikeFamousMedicalNetwork

Howtopreventandtreatdiabeticretinopathy?

Ifthelensiscomparedtoalens,theretinaisthefilmbehindthelens.Ifthe"negativefilm"isbroken,thereiscurrentlynopossibilitytoreplaceit.Therefore,diabeticretinopathyseriouslythreatensthevisionofthepatientandcausesthepatientTheimportantcauseofblindnessmustbeactivelypreventedandeffectivelytreated.Unfortunately,atthestageofbackgrounddiabeticretinopathy,thepatientmaybeasymptomaticandhisvisionmaynotbeaffected.Atthistime,thepatientmaynotknowanythingabouthiseyedisease....

DepartmentofEndocrinology,PekingUnionMedicalCollegeHospital,ChiefPhysicianXiangHongdingFrom:EncyclopediaofFamousMedicalNetworks

Related Articles
TOP