Having eye exams more often than once a year, along with management of your diabetes. This means managing your diabetes, which include your HbA1c, blood pressure, and cholesterol; and quitting smoking. Management of blood glucose can help prevent diabetic eye disease and keep it from getting worse.
Medicines – Injections to the eye (Intravitreal Injections or Steroid implant)
Doctors may treat your eyes with anti-VEGF medicine, such as bevacizumab (Avastin), ranibizumab (Lucentis) or aflibercept (Eylea). These medicines block the growth of abnormal blood vessels in the eye. Anti-VEGF medicines can also stop fluid leaks, which can help treat .
An anti-VEGF medicine is injected into your eye in clinic. You'll have several treatments during the first few months, then fewer treatments after you finish the first round of therapy. Anti-VEGF treatments can stop further vision loss and may improve vision in some people.
In diabetic eye diseases there is also inflammation. Steroids, such as dexamethasone (Ozurdex Implant) can be used to reduced inflammation and swelling in the retina and macula.
A steroid implant is injected into your eye in clinic. The implant slowly releases anti-inflammatory medication which then reduces inflammation and swelling in the retina and macula. The implant lasts for 3-4 months and you may need further treatment later.
With an injection treatment, your doctor will use medicine to numb your eyes so you don’t feel any pain or pain is minimal.
Laser Treatment
Laser treatment, also called photocoagulation, creates tiny burns inside the eye with a beam of light. This method treats leaky blood vessels and extra fluid, called edema. Your doctor usually provides this treatment during several visits, using medicine to numb your eyes. Laser treatment can keep eye disease from getting worse, which is important to prevent vision loss or blindness. But laser treatment is less likely to bring back vision you’ve already lost.
There are two types of laser:
- Focal/grid laser treatment works on a small area of the retina to treat diabetic macular edema.
- Scatter laser treatment, also called Panretinal photocoagulation (PRP), covers a larger area of the retina. This method treats the growth of abnormal blood vessels, called proliferative diabetic retinopathy.
Vitrectomy
Vitrectomy is a surgery to remove the clear gel that fills the center of the eye, called the vitreous gel. The procedure treats problems with severe bleeding or scar tissue caused by proliferative diabetic retinopathy. Scar tissue can force the retina to peel away from the tissue beneath it, like wallpaper peeling away from a wall – leading to a retinal detachment. A retina that comes completely loose, or detaches, can cause blindness.
During vitrectomy, a clear salt solution is gently pumped into the eye to maintain eye pressure during surgery and to replace the removed vitreous. Vitrectomy is done in a surgery center or hospital with pain medicine.
Cataract Lens Surgery
Your doctor can remove the cloudy lens in your eye, where the cataract has grown, and replace it with an artificial lens. People who have cataract surgery generally have better vision afterward if there is no vision loss from diabetic eye disease. After your eye heals, you may need a new prescription for your glasses. Your vision following cataract surgery may also depend on treating any damage from diabetic retinopathy or macular edema.
Where can I have diabetic eye disease treatment?
With a team of specialists with more than 20 years of experience, you can be assured when using our eyes services.
Packages for diabetic eye diseases:
- Standard package: 1,868,000 VND
- Essential Package: 3,394,000 VND
- Expanded Package: 5,684,000 VND