Diabetic Retinopathy On Vancouver Island, British Columbia
What Is Diabetic Retinopathy?
When the blood vessels in the back of the eye grow larger, swell, and become damaged, diabetic retinopathy can occur. This condition is caused by a complication that happens from diabetes. There are four stages of diabetic retinopathy: mild non-proliferative, moderate non-proliferative, severe non-proliferative, and proliferative retinopathy. In the beginning stages of diabetic retinopathy, there may be no symptoms, but if left untreated, it can progress into severe vision loss and blindness. It has been found that people with diabetic retinopathy are two times more likely to have coronary heart disease and three times more likely to suffer a fatal heart attack, as opposed to people with type 2 diabetes with no diabetic retinopathy. Diabetic retinopathy is considered the leading cause of blindness in the world.
How To Cope With Diabetic Retinopathy?
Diabetic retinopathy can be a serious condition and must closely monitored. Any vision loss presents many substantial challenges to perform our activities of daily living (ADL). Our helpful and professional staff recognize and understanding these issues. Consult with our low vision doctor to determine the best way for us to help. Dr. Shaun Golemba will provide you with the tools you need to understand the condition better and make the logical next step. We also serve Lower Mainland, Okanagan, and Kootenay’s for those of you that to not live in Vancouver Island.
If you have diabetic retinopathy and you're wanting to drive, there are a few different things that you need to know. With diabetic retinopathy, there are a few different treatments that can be provided depending upon the severity of your condition. Loss of central or peripheral vision may prevent you from legally driving. Examination by an experienced low vision optometrist will help you determine if there is a way for you to meet your state’s requirements for operating a motor vehicle. Come see us at Low Vision Center At Valley Vision Optometry in Vancouver Island, British Columbia our low vision eye doctor Dr. Shaun Golemba will give you a thorough exam and help you find the best course of action for you. Also serving Lower Mainland, Okanagan, and Kootenay’s our knowledgeable and helpful staff will be glad to serve the needs of you and your family.
Depending on the severity of diabetic retinopathy, reading can be a challenge. If you have vision loss in your central vision, you are likely to find reading difficult. However, there are several low vision devices that can help with the process. Telescopic lenses or magnifying glasses can help you focus on the words and reduce eye strain. There are Closed Circuit TVs (CCTV) with LED screens that magnify almost any reading material. Other options include high-intensity reading lamps, large print newspapers, books, and magazines. Additionally, video magnifiers, computers, and tablets typically have magnification programs built in for individuals with low Vision.
Watching TV with diabetic retinopathy can be challenging, depending upon the progression of the disease. In the initial stages of the disease, vision loss may be minor. However, as the disease progresses central vision loss may increase. Watching TV may become a problem. Often, special magnifying glasses or telescopic lenses are employed for greatly improved screen viewing.
A lot of people these days rely upon their smartphones. If you have diabetic retinopathy and also have a flip phone, it can make it difficult to see the screen and use the phone. Handheld magnifier glasses and telescopic lenses will help with these tasks. If you have a smartphone than that is a little different story. Most smartphones have an accessibility option built in that will provide a magnification window to help you be able to see the screen better. On Android phones, you can go to settings, then click on accessibility, and you should see a magnification option in the list. Simply follow the setup instructions and you will be able to magnify images on your phone. If you have an iPhone, they use an application called Zoom. To turn on Zoom, you have to go into settings, then go under general, then go under accessibility and you should see Zoom in the list under that option. Just move the slide bar to turn Zoom on and follow the instructions to set it up. These small steps will improve your ability to use your phone.
When you have diabetic retinopathy, there are a few devices that will help you recognize faces when you encounter someone new. The main type of glasses that will help with this would be full diameter telescopic glasses. Full Diameter Telescopic glasses are good for tasks that require you being able to see at a distance. These types of glasses will allow you to focus on things far away while you are stationary. This is unlike the small biopic lenses that only cover the top part of your glasses. These lenses occupy the entire center of the frame and function like a pair of binoculars or field glasses. Thes way to know if this device would work well for you is to be examined by our low vision eye doctor Dr. Shaun Golemba at Low Vision Center At Valley Vision Optometry in Vancouver Island, British Columbia. A thorough evaluation will demonstrate to you if this low vision modality is appropriate for you. Our knowledgeable and helpful staff will be delighted to serve the needs of you and your family.
What Low Vision Glasses Can I Use For Diabetic Retinopathy?
The type of low vision device that you can use for diabetic retinopathy depends upon your vision goals and the level of change in your visual function from the disease process. For example, Full Diameter Telescopes (FDT) work best when the patient’s task is stationary and does not need to move through space. These tasks include: watching a film in a movie theater, watching TV, attending a sporting event, making out people's faces. Other devices are designed to serve a variety of functions. These include:
- Absorptive lenses that are designed to help you cope with excess light and glare.
- Side Vision lenses are available for those of you that suffer from a loss of hemianopsia (side vision).
- Prismatic reading glasses. These devices are essentially strong reading glasses that will simultaneously converge and magnified an image.
- E-scoop glasses. They use a combination of base curve of the lenses, yellow or amber tent, reflection free lenses, prisms, and lens thickness to magnify images.
- Tele-Microscope glasses which are suitable for such things as watching TV, sporting events, household chores, and other tasks that require a combination of viewing distances.
Treatments For Diabetic Retinopathy
Anti-vascular endothelial growth factor drugs help limit the bleeding from abnormal blood vessels in the retina, by preventing the development of these new vessels. Anti-VEGF Drugs are injected directly into the eye.
This procedure employs a laser to target and close any bleeding or leaking blood vessels in the retina in a small targeted area of the retina.
This procedure uses a laser to treat multiple areas around the retina. The technique helps stop the development of new abnormal blood vessels. With this procedure the potential exists there is a possibility of a slight loss of peripheral or night vision.
This procedure will be done in an operating room under local or general anesthesia. Retinal Specialist will remove the scar tissue and affected vitreous and replaced with a clear fluid.