“Early diagnosis of depression for patients with diabetic retinopathy is an important step toward better treatment,” says Dr. Chen, Fundus Diseases Department, Zhongshan Ophthalmic Center, Sun Yat-Sen University, China. “That means that both ophthalmologists and psychiatric physicians should be aware of the risk factors so that they can better identify potential or existing depression patients with diabetic retinopathy.” Among those risk factors are being female, having a low income, suffering from vision loss, and having a laser treatment history. “Major depression contributes to the progression of diabetic retinopathy primarily in two ways, one is the direct way of vision impairment through biologic pathways,” said Dr. Chen. The possible biologic mechanisms include circulating cytokines; insulin deficiency; chronic hyperglycemia and occurrence of iatrogenic hypoglycemia; hyperactivity of the hypothalamic-pituitary-adrenal axis; and impact on retinal vessels. In addition, a negative attitude toward medication and surgical treatment due to depression also worsens the condition of retinopathy in an indirect way. “Timely management of depression helps to improve medication adherence and healthy behaviors, leading to better glycemic control and prognosis for retinopathy.” said Dr. Chen. “The introduction of depression screening into daily clinical practice, the training of experienced professionals to identify mental status, teaching programs, and conference discussions are all effective ways to help work out personalized treatment plans for this group of patients,” the Psychosomatics article concluded.
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favour poultry, fish, and lean red meats. The pressure pinches the blood vessels that carry blood to the retina and optic nerve. Retinal detachment requires surgical treatment to reattach the retina to the back of the eye. Retinal detachment can lead to permanent vision loss. Hypertensive retinopathy — A physician examines the eye with an ophthalmoscope. Drops placed on the eye’s surface dilate widen the pupil, allowing a physician to examine the retina and optic nerve. Diabetes causes damage to the blood vessels that nourish the retina, the seeing part of the eye. Neovascular glaucoma: if a number of retinal vessels are closed, neovascularization can occur in the iris the coloured part of the eye. It is the leading cause of blindness in North America.
Retinopathy of prematurity — There are no outward physical signs. At this advanced stage, growth factors secreted by the retina trigger the proliferation of new blood vessels, which grow along the inside surface of the retina and into the vitreous gel, the fluid that fills the eye. Diabetic retinopathy is a complication of diabetes that damages blood vessels inside the retina at the back of the eye. Intraocular steroid injection is a treatment for diabetic macular enema. http://www.theprimitiveoldecrow.com/greatemilyrogers/2016/08/29/picking-easy-solutions-of-vitrectomy/The same scene as viewed by a person normal vision Top and with enter advanced diabetic retinopathy. Macular wrinkling can distort your vision. A procedure called cryotherapy uses cold to destroy abnormal blood vessels. Prognosis depends upon the extent of the retinopathy, the cause, and promptness of treatment. Proliferative diabetic retinopathy PDP Proliferative diabetic retinopathy PDP mainly occurs when many of the blood vessels in the retina close, preventing enough blood flow. Side effects of scatter photo coagulation are usually minor. Diabetes causes damage to the blood vessels that nourish the retina, the seeing part of the eye. http://advisingeyedoc.jcchristiancounseling.com/2016/08/27/she-completed-an-internal-medicine-intern-ship-at-st/Symptoms of diabetic retinopathy include: Blurred vision and slow vision loss over time Shadows or missing areas of vision Many people with early diabetic retinopathy have no symptoms before bleeding occurs in the eye. High blood pressure damages the blood vessel walls, causing them to thicken and narrow. When diabetic retinopathy is mild or moderate, good blood sugar control can usually slow the progression.