What to do if you are blind with diabetes and can you have surgery

In some developed countries, diabetic ocular complications are the leading cause of blindness. In recent years, with the rapid increase in the incidence of diabetes in China, diabetic ocular complications have become an important factor causing blindness.

Diabetic eye complications include diabetic retinopathy, diabetic cataract, iridocyclitis, neovascular glaucoma, etc., among which diabetic retinopathy is the most common and severe.

The incidence of diabetic retinopathy (referred to as diabetic retinopathy) is related to the course of the disease in diabetic patients, and the longer the course of the disease, the higher the incidence. In general, the incidence of retinopathy in diabetic patients is 25% after 5 years, increases to 60% after 10 years, and even as high as 75% 80% after 15 years.

Diabetic retinopathy is also associated with age of onset, genetic factors, and glycemic control, with people with good glycemic control developing diabetic reticulation later than those with poor blood glucose control.

Diabetic eye complications are generally asymptomatic in the early stage of the lesion, and as the disease progresses, it will cause symptoms such as varying degrees of vision loss, visual distortion, and dark shadows fluttering in front of the eyes, and eventually lead to irreversible blindness.

Therefore, diabetic patients should regularly monitor the fundus according to the doctor's advice, and should regularly perform fundus fluorescein angiography if necessary to understand the extent and severity of fundus lesions, so as to detect and timely **. Don't take it lightly or treat it negatively, when the condition is very serious, it often reaches an advanced stage, and the effect is very poor.

I can only say that it is a pity that I am blind, it can not be cured, as for the eye hypertension there is still hope to be treated, go to the ophthalmology department of the hospital for intraocular pressure lowering surgery, which is to extract part of the vitreous in the eyeball to reduce the pressure. (It takes luck).

Hopefully the surgery will be successful!

Stage I: retinal microangioma. This is an early change in the "sugar reticulum", and the patient may not have any subjective sensations, but ophthalmoscopy may show red or dark red round spots of varying sizes.

At this stage, as long as diabetes is diagnosed, regardless of whether there is any change in vision, the fundus should be examined every six months to a year.

Stage 2: yellowish-white hard exudation or combined retinal hemorrhage. At this time, the patient may have no obvious symptoms, or occasionally have blurred vision and dark shadows in the center of the visual field.

In addition to regular examinations, we should also pay attention to improving microcirculation, strictly control blood sugar, blood pressure, and blood lipids, avoid repeated fluctuations in blood sugar, and do fundus vascular fluorescence imaging if necessary.

Stage III: cotton wool soft exudate or combined retinal hemorrhagic plaque. Patients may experience decreased vision, distorted vision, and transient blindness.

This is the best time for local laser** to eliminate bleeding and prevent neovascularization and vitreous hemorrhage. Don't delay the opportunity because of the fear of "lasers", etc.

Stage 4: Retinal neovascularization, vitreous hemorrhage. This is one of the diabetes-specific arterial changes.

In addition to the strict use of anti-diabetic drugs, it is also necessary to add drugs to promote vitreous hemorrhage and absorption, and after hemorrhage absorption, timely carry out whole-fundus retinal laser photocoagulation**, and if necessary, vitrectomy should be performed to remove the turbid vitreous.

Stage 5: Retinal neovascularization and fibrous proliferation. Preretinal hemorrhage can occur suddenly, leading to rapid vision loss, visual field defects, and even blindness.

Stage VI: Retinal neovascularization and fibrous proliferation, and traction retinal detachment. Retinal detachment can lead to severe vision loss, blindness, etc.

In addition to active diabetes, vitrectomy should be done as soon as possible to reset the detachment of the retina, so as to try to save the eyeball and rescue the remaining vision.

For details, it is recommended to consult the doctor of Wuhan Modern Obstetrics and Gynecology in Qiaokou.

Diabetes-led blindness is caused by the occurrence of diabetic neuropathy caused by the body being in a state of high blood sugar for a long time, causing diabetic retinopathy and optic nerve atrophy, which begins to cause blurred vision.

Therefore, the best way to prevent blindness caused by diabetes is to first lower the blood sugar to the normal range, so that the body's hyperglycemic state can be corrected. In order to correct the body's hyperglycemic state, it is necessary to strictly follow a diabetic diet under the guidance of a doctor, exercise strictly, take oral hypoglycemic drugs on time and in accordance with the amount, and inject insulin subcutaneously if necessary. In turn, the body's blood sugar is in a normal state for a long time.

Secondly, you should wear reading glasses to reduce the pressure of seeing things with your eyes and relieve the blurred vision of your eyes. Finally, try to look at your mobile phone less, watch less TV, surf the Internet less, read less books, close your eyes more to rest, work for half an hour, and let your eyes look into the distance for a while.

Suggestions:

Hello, more than 95% of diabetic patients are complicated by retinopathy, which is one of the four major blindness factors, and the blindness caused by diabetes is 10-25 times more than the general population. Diabetes mellitus is a metabolic disorder caused by high blood sugar due to insufficient insulin secretion. Generally, it can't.

Suggestions: Hello, diabetes mellitus is a complex metabolic disease caused by insufficient insulin function or insulin dysfunction caused by high blood sugar and urine glucose, which is a systemic, chronic and progressive disease. It may be that on the basis of genetic factors, due to the disorder of glucose metabolism, the hemocoagulation mechanism and hemodynamic disorders are caused, resulting in microangiopathy and microthrombosis, which leads to the occurrence of retinopathy.

Diabetic retinopathy is one of the serious complications of diabetes. In urban areas, the incidence of this lesion accounts for about the proportion of diabetic patients, and the fundus lesion worsens with the prolongation of the course of the disease. The occurrence and development of this disease is a long clinical process, which can be divided into simple and proliferative synchronicity.

The stage is simple, — proliferative. Proliferative patients have a poor prognosis. The clinical course of the disease is microangioma formation, retinal capillary and arteriolar atresia, hemorrhage and exudation, neovascularization and fibrous tissue proliferation, and finally traction retinal detachment and neovascular glaucoma, which can eventually lead to loss of vision.

The incidence rate of this disease is low in China, but it has increased year by year in recent years, and will also become an important cause of blindness.