Procedure Type
SurgicalProcedure Duration
15 min - 30 minHospital Stay (Days)
No need to stayDiabetic retinopathy is a progressive eye condition that affects the blood vessels in the retina, the light-sensitive tissue at the back of the eye. It develops as a complication of diabetes, particularly when blood sugar levels remain uncontrolled for a prolonged period. Over time, high glucose levels damage the tiny retinal vessels, leading to leakage, swelling, or abnormal new blood vessel formation. If left untreated, diabetic retinopathy can cause vision impairment or even permanent blindness. Treatment is essential not only to preserve sight but also to prevent the condition from advancing to more severe stages.
In the early stages of diabetic retinopathy, often called non-proliferative diabetic retinopathy (NPDR), treatment may focus primarily on controlling underlying diabetes. Managing blood sugar levels, blood pressure, and cholesterol can slow the disease’s progression and reduce the risk of complications. Regular eye exams, ideally once a year, are crucial for early detection. If diabetic retinopathy is detected early and managed properly, it may not require any immediate surgical intervention, but close monitoring becomes essential.
Once diabetic retinopathy progresses to the proliferative stage, where abnormal new blood vessels grow on the retina or into the vitreous (the gel inside the eye), more aggressive treatment is necessary. These fragile vessels can bleed easily, leading to vision loss. At this stage, ophthalmologists may recommend laser treatment, anti-VEGF injections, or even surgery. The choice of treatment depends on the severity of the condition and how much vision has already been affected.
Laser photocoagulation is a common treatment used for both proliferative diabetic retinopathy and diabetic macular edema (swelling in the central part of the retina). This procedure involves using a high-precision laser to seal or shrink the leaking blood vessels, thereby reducing fluid accumulation and halting the growth of abnormal vessels. The procedure is typically done in an outpatient setting and can help preserve existing vision, though it may not significantly improve vision that is already lost.
Senior Consultant & Assistant Professor MBBS, MD OPHTHALMOLOGY, FRCS
MBBS, MD - Ophthalmology Ophthalmologist/ Eye Surgeon
Anti-VEGF (vascular endothelial growth factor) injections are a major advancement in the treatment of diabetic retinopathy. These medications, injected directly into the eye, target a protein that stimulates the growth of abnormal blood vessels. By inhibiting VEGF, the injections can reduce swelling, prevent new vessel formation, and in many cases, improve vision. Drugs like ranibizumab, aflibercept, or bevacizumab are commonly used. Patients may require multiple injections over several months, depending on how their eyes respond to the therapy.
Vitrectomy is a surgical procedure used when diabetic retinopathy causes severe bleeding (vitreous hemorrhage) or when scar tissue pulls on the retina, risking detachment. During the procedure, the surgeon removes the cloudy or blood-filled vitreous gel and replaces it with a clear solution to restore vision. Scar tissue is also removed if present. Vitrectomy is typically performed under local or general anesthesia and may be necessary when other treatments are not sufficient to manage advanced retinopathy.
Even with advanced medical or surgical treatments, blood sugar control remains the foundation of diabetic retinopathy management. Tight glycemic control helps reduce the risk of retinopathy worsening and improves the effectiveness of other treatments. Patients are advised to work closely with their endocrinologist or primary care physician to maintain consistent blood sugar, cholesterol, and blood pressure levels. A balanced diet, regular physical activity, and medication adherence are essential to support ongoing eye health.
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