The retina, a light-sensitive tissue lining the back of the eye, acts as the eye's "film," converting light into electrical signals that the brain interprets as vision, and its health is crucial for sight, as retinal damage can lead to vision loss.
People with diabetes can have an eye disease called diabetic retinopathy. This is when high blood sugar levels cause damage to blood vessels in the retina. These blood vessels can swell and leak. Or they can close, stopping blood from passing through. Sometimes abnormal new blood vessels grow on the retina. All of these changes can steal your vision.
There are two main stages of diabetic eye disease
1. NPDR (non-proliferative diabetic retinopathy)
This is the early stage of diabetic eye disease. Many people with diabetes have it. With NPDR, tiny blood vessels leak, making the retina swell. When the macula swells, it is called macular edema. This is the most common reason why people with diabetes lose their vision. Also with NPDR, blood vessels in the retina can close off. This is called macular ischemia. When that happens, blood cannot reach the macula. Sometimes tiny particles called exudates can form in the retina. These can affect your vision too. If you have NPDR, your vision can be blurry or even normal.
1. PDR (proliferative diabetic retinopathy)
PDR is the more advanced stage of diabetic eye disease. It happens when the retina starts growing new blood vessels. This is called neovascularization. These fragile new vessels often bleed into the vitreous. If they only bleed a little, you might see a few dark floaters. If they bleed a lot, it might block all vision.
These new blood vessels can form scar tissue. Scar tissue can cause problems with the macula or lead to a detached retina.
PDR is very serious and can steal both your central and peripheral (side) vision.
Treatment options for retina disorders can vary depending on the specific condition and its severity. Some common retina disorders include age-related macular degeneration (AMD), diabetic retinopathy, retinal detachment, and macular edema. Here are some general treatment options for retina disorders:
Intravitreal Injections: Medications, such as anti-vascular endothelial growth factor (anti-VEGF) drugs, can be injected into the vitreous humor to treat conditions like AMD and diabetic macular edema. These drugs help reduce abnormal blood vessel growth and leakage.
Wide range of Intra vitreal Anti Vascular Endothelial Growth Factor (anti-VegF) injections available:
Laser Therapy: Laser photocoagulation is a technique used to seal or destroy abnormal blood vessels in the retina. It is commonly employed in treating diabetic retinopathy and other conditions that involve abnormal blood vessel growth.
Vitrectomy : For severe retinal detachment or certain vitreous disorders, vitrectomy is performed. This retina eye surgery removes some or all of the vitreous humor and can help repair or prevent retinal damage
Retinal Cryopexy : Cryopexy involves freezing certain areas of the retina to treat retinal tears or detachments. It helps create scar tissue that seals the tear or reattaches the retina.
Photodynamic Therapy (PDT) : PDT involves using a light-activated drug to destroy abnormal blood vessels of the retina. It is often used in combination with laser therapy for conditions like AMD.
Scleral Buckling : This retina eye surgery procedure involves placing a band (scleral buckle) around the eye to counteract the force pulling the retina out of place. It is commonly used in the treatment of retinal detachments.
Intravitreal Implants : Sustained-release implants can be placed inside the eye to deliver medications gradually over an extended period. These implants can be used for conditions like diabetic macular edema
Medication : Oral medications are prescribed by a retina eye specialist in some conditions, such as corticosteroids for reducing inflammation in the eye.
Gene Therapy : Research is going on in gene therapy for certain genetic retinal disorders. This involves introducing genetic material into the eye to correct or replace defective genes