Sunday, November 26, 2017

Diabetic Retinopathy & Neuropathy


We have known for quite some time that with both Type 1 & Type 2 Diabetes Mellitus are at high risk for developing diabetic retinopathy, which is the most common cause of irreversible blindness in adults. Vision loss occurs because of microvascular damage to the retina. People with diabetes are typically not aware that they are also at risk for developing retinal diabetic neuropathy, which is the loss of nerve cells in the retina. For many years, scientists believed patients developed retinopathy and, as a result of the damage to the blood vessels, later developed neuropathy. Doctors were focusing on early detection and treatment of retinopathy to prevent blindness, which they thought would then prevent the damage caused by neuropathy.

In a new study researchers discovered that the sequence of events occurring in the retina is just the opposite. Unfortunately we now know that the nerve damage actually does come first, before the vessel damage. Even people with diabetes who never get retinopathy can still develop this damage, and after many years, damage may be severe, similar to glaucoma. As part of the diabetic eye exam we provide for patients, we often perform a test called Optical Coherence Topography (OCT) that actually allows us to carefully examine the retinal nerve fiber health

The best way to prevent vision loss from diabetic retinopathy is through early detection, diagnosis and treatment with regular eye exams. If you or someone you know is diabetic and needs an diabetic eye exam, please call us at 800-325-3937, visit D’Ambrosio Eye Care, Google+ or facebook.com/dambrosioeyecare so that we can help. 

D'Ambrosio Eye Care provides eye care for patients throughout greater Boston, central and western Massachusetts with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 865 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453, 100 Powder Mill Road, Acton, Massachusetts 01720, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440.

Sunday, November 12, 2017

Injections vs. Laser Treatment for Diabetic Retinopathy



Injections for Advanced Diabetic Retinopathy
Diabetic retinopathy progresses in stages that reflect the severity of the disease. Proliferative diabetic retinopathy is a more advanced stage and requires treatment. Therapeutic injections for proliferative diabetic retinopathy represent a sound treatment for some patients with this advanced stage of diabetic retinopathy where blood vessels in the retina begin to grow, or proliferate, many which are fragile and more likely leak and bleed. Proliferative diabetic retinopathy is a significant cause of vision loss if left untreated. Reporting on a clinical trial in the Journal of the American Medical Association, researchers compared the visual outcomes in patients with proliferative diabetic retinopathy who underwent either anti-VEGF treatment or Panretinal photocoagulation laser treatment. They found in many respects the outcomes of the group receiving injections were better in that the average vision over the two years in the injection group was better than the laser group, and the patients with the injections had less peripheral vision loss, required fewer future surgeries and developed fewer complications in the macular area of the eye.

If you or someone you know has diabetes, it is important to have regular diabetic eye exams to prevent vision loss from diabetic eye disease complications called diabetic retinopathy. Early detection, diagnosis and treatment are the keys to preventing vision loss from diabetic retinopathy. If you need a diabetic eye exam please call us at 800-325-3937, visit D’Ambrosio Eye Care, Google+ or facebook.com/dambrosioeyecare so that we can help. 

D'Ambrosio Eye Care provides eye care for patients throughout greater Boston, central and western Massachusetts with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 865 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453, 100 Powder Mill Road, Acton, Massachusetts 01720, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440.