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145 Church St, Mudgee NSW 2850
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Alternate Wednesdays: 1:30 pm - 5:00 pm
Ph: + 02 6100 3300
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Understanding Diabetic Retinopathy

What is Diabetic Retinopathy? Diabetic retinopathy is a serious eye condition that affects individuals with diabetes. It occurs when high blood sugar levels cause damage to the blood vessels in the retina, the light-sensitive layer of tissue at the back of the eye. This damage can lead to vision impairment and, if untreated, severe vision loss or blindness.

Pathophysiology of Diabetic Retinopathy: The pathophysiology of diabetic retinopathy involves both the weakening and blockage of the small retinal blood vessels, leading to leakage, swelling, and sometimes the formation of new, abnormal blood vessels on the retina's surface. These changes can cause symptoms such as blurred vision, floaters, and patches of vision loss, often referred to as diabetic retinopathy symptoms.

Stages of Diabetic Retinopathy:

  1. Mild Non-proliferative Retinopathy: Small areas of balloon-like swelling in the retina's tiny blood vessels, known as microaneurysms, occur at this earliest stage.
  2. Moderate Non-proliferative Retinopathy: As the disease progresses, some blood vessels that nourish the retina are blocked.
  3. Severe Non-proliferative Retinopathy: Many more blood vessels are blocked, depriving several areas of the retina of their blood supply, which signals the body to grow new blood vessels.
  4. Proliferative Retinopathy: At this advanced stage, growth of new blood vessels occurs along with scar tissue, which can cause serious vision problems, including retinal detachment and vitreous haemorrhage.

Diagnosis and Monitoring: Diagnosis of diabetic retinopathy involves a comprehensive eye examination that includes:

  • Visual Acuity Testing
  • Fundoscopy: A crucial tool in visualising and grading diabetic retinopathy by examining the back of the eye.
  • Fluorescein Angiography: For more detailed imaging and assessment of blood circulation in the retina.
  • Optical Coherence Tomography (OCT): To provide cross-sectional images of the retina and detect swelling.

Treatment Options:Treatment depends on the stage of retinopathy and may include:

  • Medical Control: Managing blood sugar, blood pressure, and cholesterol to slow the progression.
  • Laser Surgery: Laser photocoagulation to seal or reduce leaking blood vessels in the retina.
  • Injections: Anti-VEGF drug injections to slow growth of new blood vessels and reduce fluid leakage.
  • Vitrectomy: Surgery to remove blood from the middle of the eye (vitreous) as well as any scar tissue stimulating retinal detachment.

Preventive Measures and Self-Care: Managing diabetes effectively is key to preventing diabetic retinopathy or slowing its progression. Regular diabetic eye checks, maintaining good blood glucose levels, and healthy lifestyle choices are critical.

Treatment Process

A Step-by-Step Approach to Managing Diabetic Retinopathy Our treatment process is designed to address diabetic retinopathy comprehensively, from initial detection to ongoing management. This includes regular monitoring and interventions tailored to the severity and progression of your condition.

01. Initial Assessment and Diagnosis

During your first visit, we conduct a thorough assessment using tools like ophthalmoscopy to determine the presence and severity of diabetic retinopathy, distinguishing it from conditions like hypertensive retinopathy.

02. Personalized Treatment Planning

Continuous monitoring through regular check-ups allows us to adjust your treatment as needed, ensuring the best possible outcomes and keeping your vision at its best.

03. Intervention Strategies

Interventions are applied based on the disease's progression, focusing on controlling or reversing vision threats through proven therapies tailored to reduce or halt further damage.

04. Regular Monitoring and Adjustments

Continuous monitoring through regular check-ups allows us to adjust your treatment as needed, ensuring the best possible outcomes and keeping your vision at its best.

Benefits

Protect Your Vision, Enhance Your Life

Managing diabetic retinopathy effectively is crucial not only for maintaining vision but also for ensuring overall quality of life. At our clinic, we provide targeted treatments that offer several key benefits:

  • Prevention of Vision Loss: Early detection and treatment can significantly slow the progression of diabetic retinopathy, preventing severe vision loss and potential blindness.
  • Reduction of Symptoms: Treatment can alleviate symptoms like blurriness and floaters, helping to stabilise and improve your visual acuity.
  • Advanced Treatment Options: Access to the latest treatment technologies such as laser surgery, anti-VEGF injections, and vitrectomy increases the effectiveness of managing advanced stages of diabetic retinopathy.
  • Personalised Care Plans: Every patient receives a treatment plan tailored to their specific stage of retinopathy and overall health, ensuring the best possible outcomes.
  • Improved Quality of Life: By maintaining better vision, patients can enjoy increased independence and continue their daily activities with fewer limitations.
  • Comprehensive Support and Education: We provide ongoing support and education on managing diabetes and retinopathy, empowering you to take charge of your health.

Our commitment to using state-of-the-art diagnostic tools and offering advanced treatment options positions us as leaders in the care of diabetic retinopathy. We aim to not just treat but educate and support our patients at every step of their journey towards better eye health.