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DIABETIC RETINOPATHY

  1.  Introduction   
  2.  Understanding the Normal Eye 
  3.  Types:  Non Proliferative Diabetic Retinopathy 
  4.  Types:  Macular Edema and Ischemic Diabetic Retinopathy
  5.  Types:  Proliferative Diabetic Retinopathy 
  6.  Types:  Vitreous Hemorrahages 
  7.  Diagnostic Testing:  Fluroescein Angiopgraphy
 
  8.  Diagnostic Testing:  Ultrasound   
  9.  Treatment:  Macular Edema and Ischemia/Focal Laser 
10.  Treatment:  Proliferative Diabetic Retinopathy/PRP Laser 
11.  Treatment:  Proliferative Diabetic Retinopathy/Anti-VEGF Injection   
12.  Treatment:  Proliferative Diabetic Retinopathy/Vitrectomy

 

1.  Introduction     (back to top)

Patients with diabetes are at an increased risk of developing eye diseases that can cause vision loss and blindness, such as diabetic retinopathy, cataracts and glaucoma. Diagnosing and treating eye disease early can prevent vision loss. It is also important to maintain a steady blood-sugar level, take prescribed medications, follow a healthy diet, control your blood pressure, exercise regularly and avoid smoking.

2.  Understanding the Normal Eye     (back to top)

Understanding the normal eye See Video    Espanol  Espanol Espanol

3.  Types:  Non Proliferative Diabetic Retinopathy     (back to top)

Non proliferative diabetic retinopathy See Video   Espanol  Espanol Espanol

Non proliferative diabetic retinopathy (NPDR) is characterized by dot blot hemorrhages:

Non proliferative diabetic retinopathy (NPDR)

 

4.  Types:  Macular Edema and Ischemic Diabetic Retionpathy     (back to top)

Macular edema and ischemia diabetic retinopathy See Video     Espanol  Espanol Espanol

Diabetic retinopathy with macular edema is characterized by pinpoint leakages within the central area of the retina called the macula. This leakage results in swelling ((edema).

Proliferative diabetic retinopathy (PDR)

Fluorescein angiography (B&W above) is important in evaluating this condition.


5.  Types:  Proliferative Diabetic Retinopathy     (back to top)

Proliferative diabetic retinopathy See Video     Espanol  Espanol Espanol

Proliferative diabetic retinopathy (PDR) is characterized by abnormal new blood  vessel formations called neovascularization of the disc (NVD) and neovascularization elsewhere (NVE).

Proliferative diabetic retinopathy (PDR)


6.  Types:  Vitreous Hemorrahage     (back to top)

Vitreous hemorrhage See Video     Espanol  Espanol Espanol

When PDR vessels bleed the interior vitreous cavity of the eye fills with blood. This condition is a vitreous hemorrhage.

Vitreous hemorrhage


7.  Diagnostic Testing:  Fluroescein Angiopgraphy     (back to top)

Fluorescein Angiography See Video     Espanol  Espanol Espanol

A fluorescein angiogram is an in digital diagnostic test we use to better evaluate and treat retinopathy.

Dr. Kinnas performs in office angiogram


8.  Diagnostic Testing:  Ultrasound     (back to top)

Ultrasound See Video    Espanol  Espanol Espanol

While non proliferative retinopathy can be observed the other forms may require laser, injectional, intraocular intervention or combinations of all three.

9.  Treatment:  Macular Edema and Ischemia/Focal Laser     (back to top)

Macular edema and ischemia/Focal laser See Video     Espanol  Espanol Espanol

Macular edema

The macular swelling on the left is absorbed after the pigmented focal laser scar sets in as seen on the left.

10.  Treatment:  Proliferative Diabetic Retinopathy/PRP Laser    (back to top)

Proliferative diabetic retinopathy/PRP laser See Video     Espanol  Espanol Espanol

Pan retinal photocoagulation (PRP) is an in office laser treatment for proliferative diabetic retinopathy (PDR).

Multiple white laser applications of PRP treatment

11.  Treatment:  Proliferative Diabetic Retinopathy/Anti-VEGF Injections     (back to top)

Proliferative diabetic retinopathy/Anti-VEGF Injections See Video     Espanol  Espanol Espanol

12.  Treatment:  Proliferative Diabetic Retinopathy/Vitrectomy     (back to top)

Proliferative diabetic retinopathy/Vitrectomy  See Video     Espanol  Espanol Espanol

A vitrectomy is an operative suite surgical procedure to remove blood and repair diabetic retinal damage.

A vitrectomy repair - before & after
   
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Westchester Eye & Laser Center, IL under the direction of Dr. Spero J. Kinnas provide a full range of ophthamology services including: Laser Vision Correction, Cataract Surgery with Standard and Premium Implants, Diabetic Eye Care Diagnosis and Treatment, Glaucoma Evaluation and Treatment, Macular Degeneration Diagnosis and Treatment, Dry Eye and Low Vision.
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