Is there an aura to fundus bleeding caused by diabetes?

Aunt Wang is 54 years old this year and has been suffering from diabetes for nearly 10 years. But in the past 1 year, Aunt Wang always has a feeling of swollen eyes, throbbing eyeballs, and sometimes red light, more and more from top to bottom, and occasionally there are floaters in front of her eyes.

Experts believe that Aunt Wang's condition can basically be diagnosed as fundus hemorrhage caused by diabetes. Although many fundus hemorrhages are asymptomatic, there is a high suspicion of fundus hemorrhage if the following conditions occur.

1) Break through the darkness in front of you, only manual or only light.

2) Suddenly, if the eyes are covered by a round black shadow, it does not float with the movement of the eyeball, and the object in the middle direction is completely missing, and the objects on both sides are blurred and visible.

3) Suddenly, there is a black shadow in the eye like a line in a certain direction, which progresses rapidly and gradually increases, and finally covers the eyes, and the vision is blurry and cannot be distinguished.

4) The red light flashes in front of the eyes, which gradually increases, so that the red light is full of eyes, and the vision is unclear. Fundus hemorrhage can occur at all stages of the sugar reticulum. The bleeding may be absorbed gradually, but new bleeding may occur near it.

In diabetic retinopathy, the first thing is to control blood sugar; Secondly, retinal laser photocoagulation is currently recognized as an effective means in the world.

In recent years, with the advent of anti-angiogenesis drugs, intravitreal anti-neovascularization drug injection combined with retinal laser photocoagulation is the mainstream of diabetic retinopathy. However, if the patient has vitreous hemorrhage, retinal detachment, or neovascular glaucoma, vitreoretinal surgery will be required**, which is more expensive and has a worse visual prognosis.

Here, we call on the majority of diabetic patients to control blood sugar, regulate blood sugar, and regularly go to the ophthalmology specialist for retinal examination.

Fundus hemorrhage caused by diabetes can be achieved by two methods: conservative or surgical.

1.Guard**. The first step is to control the patient's blood sugar, and if the patient has bleeding, hemostatic drugs can be used under the guidance of a doctor.

If it is old bleeding, drugs that promote blood circulation and remove blood stasis can be used to help improve fundus microcirculation. If fundus bleeding is punctate and occurs sporadicly, you can also actively control blood sugar without medication**.

2.Surgery**. If diabetic retinopathy enters the proliferative phase and is accompanied by subretinal neovascularization, the blood vessels can be closed by laser photocoagulation. If there is a lot of bleeding and vitreous hemorrhage, vitrectomy and intravitreal injection of drugs may be done.

In diabetic complicated by fundus hemorrhage, it is necessary to control blood sugar and blood pressure to avoid aggravation of bleeding symptoms, and take hypoglycemic and antihypertensive drugs according to the doctor's instructions to maintain the stability of blood sugar and blood pressure. At the same time, hemostatic drugs should be used in combination to avoid further bleeding from the eye. A fundus exam is then done to look for specific symptoms of bleeding.

Once fundus hemorrhage has occurred, our next step is to use photocoagulation**, laser** is considered an effective method for diabetic retinopathy.

Treat diabetes in a timely manner. Because it is bleeding from the eye caused by diabetes.

Go to the hospital and see, the doctor has a way to stop the bleeding.

Diabetic fundus hemorrhage is mostly caused by hypertension, diabetes, retinal vascular occlusion or immune dysfunction, and is commonly seen in hypertensive retinopathy, diabetic retinopathy, retinal vein occlusion, and retinal vein periinflammatory lesions. Diabetic fundus hemorrhage has a long course and is easy to reverse, often causing serious ocular complications such as proliferative retinopathy and neovascular glaucoma, and can often lead to blindness if not timely and effective.

Symptoms of fundus hemorrhage in early diabetes are: intraretinal hemorrhage, microhemangioma, lipoprotein exudation. At this time, the patient has obvious self-conscious symptoms, only mild blurred vision or floaters, so it is often ignored by the patient and does not go to the doctor.

If the opportunity is delayed, the early fundus hemorrhage is not well controlled, and the blood vessels in the fundus are repeatedly bleeding or even atrophied, resulting in the loss of normal retinal perfusion in the fundus, and then a large number of neovascularization and hyperplasia will be produced, and the fragility of the new blood vessels will be larger, which will further aggravate the occurrence of fundus hemorrhage, such as the formation of neovascular glaucoma, vitreous hemorrhage, retinal detachment, and eventually lead to blindness. Therefore, it is helpful for diabetic patients to regularly check the fundus and confirm the diagnosis of fundus fluorescence if necessary.

?I believe that no one is not afraid of losing the light, and diabetic fundus hemorrhage is an eye disease that is very harmful to the eyes, so patients who suffer from this condition are very worried. So in order to make everyone pay attention to diabetic fundus hemorrhage, the following ophthalmology experts in our hospital will give you a specific introduction to whether diabetic fundus hemorrhage will cause blindness.

The impact of fundus hemorrhage on vision varies greatly in different patients and at different stages of diabetic retinopathy, some people may not have an effect, and some people may experience complete blindness. Retinal hemorrhages involving the macula can severely affect vision and even lead to blindness in both eyes.

Ophthalmology experts in our hospital pointed out that if the opportunity is delayed, the early fundus hemorrhage is not well controlled, and the blood vessels in the fundus are repeatedly bleeding or even atrophied, resulting in the loss of normal retinal perfusion of the fundus, and then a large number of neovascularization tissue will be produced, and the fragility of the new blood vessels will be larger, which will further aggravate the occurrence of fundus hemorrhage, such as the formation of neovascular glaucoma, vitreous hemorrhage, retinal detachment, and eventually lead to blindness.

It sounds terrible, but the ultimate cause of blindness still appears in those patients who do not go in time, to keep the eyes clear, we should pay attention to diet in daily life, because diet plays a very important role in the protection of the eyes, for example, we know that protein is the main component of cells, so we can eat more protein-containing foods, which is a lot, such as fish and shrimp, dairy products, eggs, animal offal and lean meat, etc. Of course, not only the above are enough, in addition to supplementing protein, we also need to supplement vitamin A and vitamin C, if people lack vitamin A, they will have a reduced ability to adapt to the dark, and may suffer from night blindness in severe cases, so supplementing vitamin A is an urgent matter, our daily life vegetables contain a lot of this, such as carrots, spinach, leeks, green peppers, sweet potatoes, etc., and the fruits we eat also contain vitamin A, apricots, persimmons, oranges and so on. In addition to supplementing vitamin A, vitamin C can not be missing, because it is the lens that makes up the eyeball, if there is a serious lack of vitamin C, it will lead to cataracts, from this point of view, it plays a vital role in the quality of the eyes, fortunately there are many of this substance, and it is common to us, mainly cucumbers, green peppers, cabbage, raw pears, oranges, etc.

This friend can refer to the methods I listed for you, and don't be afraid, mild ones can be **, and bleeding can be absorbed.