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Diabetic retinopathy

 Diabetic retinopathy - a retinopathy (retina damage) caused by complications of a diabetes which could lead to blindness ultimately. It is eye implication of system illness which damages to 80 % of all diabetics which had diabetes within 15 years or more. Despite these intimidating statistical data, examination specifies, that at least 90 % of these new cases could be reduced, if there was a proper both vigilant treatment and the control of eyes.

Risk factors

 All people with a diabetes are in danger – those with Type 1 diabetes (the juvenile beginning) and those with Type diabetes (the adult beginning). The more longly the person has diabetes, the above hazard of development of some eye problem.

 During pregnancy the diabetic retinopathy can be also a problem for women with diabetes. It is recommended, that all pregnant women with diabetes have dilated eye examinations each trimester to protect their vision.

Guidance

 There are two main treatments for a diabetic retinopathy which is very effective in weakening losses of vision from this illness. Actually, even people with a premature retinopathy have a 90 percent chance of observance of their vision when they gain treatment before the retina will be strictly damaged. However, the best expedient to be converted to a diabetic retinopathy consists in checking it vigilantly and to guarantee, that it does not happen first the careful control of a glucose of blood and restriction of dietary fructose.

 These two treatments - laser surgery and vitrektomija. It is important to pay attention, that though this treatment is very successful, they do not cure a diabetic retinopathy.

Diffuse laser treatment

 Instead of focusing light to unique maculae, the eye professional of care can make hundreds small laser, the procedure termed as treatment of the laser of the scatterer or panretinal by a photocoagulation is burned with retina center. Treatment reduces pathological blood vessels. Patients can lose a part of their peripheric vision after this surgery, but procedure spares other part of a view of the patient. The laser surgery can reduce color and evening vision a little also.

 The person with a proliferative retinopathy will always be in danger to a new bleeding just as glaucomas, complications from new blood vessels. It means, that plural treatment can be obliged to protect vision.

Vitrektomija

 Instead of laser surgery some people require the eye activity termed vitrektomiej to recover vision. Vitrektomija it is carried out, when there is a lot of blood in a vitreous. It involves excision of the turbid vitreous and replacement of it with a normal saline solution made of salt and water. As the vitreous - mainly water, should not be any change between a normal saline solution and a normal vitreous.

 People at whom is vitrektomija soon after a major bleeding, show examinations, that more possibly, will protect the vision than someone, who waits to have activity. Early vitrektomija it is especially effective in people with dependent insulin diabetes which can be at larger hazard of blindness from a bleeding in an eye.

 Vitrektomija often becomes under local anesthesia. The doctor does a tiny slit in a sclera, or a white eye. Then, the small instrument is located in an eye to remove a vitreous and to interpose a normal saline solution into an eye.

 Patients can be able soon come back home after vitrektomii, or can ask to remain in hospital suddenly. After activity the desire of an eye is red and sensitive, and patients usually should wear a bandage within several days or weeks to protect an eye. Eye drops containing medicinal substance also are ordered to protect against an infection.


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