India is fast becoming the world capital of diabetes. It will have the maximum number of diabetics in the world by the year 2025.Diabetes is the commonest cause of blindness and vision impairment in the age group 20 to 60 years.
Diabetic retinopathy is a complication of diabetes that affects the eyes. It's caused by damage to the blood vessels of the light-sensitive tissue at the back of the eye (retina).
At first, diabetic retinopathy may cause no symptoms or only mild vision problems. Eventually, however, diabetic retinopathy can result in blindness.
Diabetic retinopathy can develop in anyone who has type 1 diabetes or type 2 diabetes. The longer you have diabetes, and the less controlled your blood sugar is, the more likely you are to develop diabetic retinopathy.
To protect your vision, take prevention seriously. Start by carefully controlling your blood sugar level and scheduling yearly eye exams.
Most of the times the visual impairment in diabetics can be due to a swelling on the centre of the retina called the “macula”. This condition is called the Diabetic Macular Edema.
Treating diabetic retinopathy early can yield fantastic results, with as many as 95% of patients avoiding substantial vision loss if they are treated in time. That’s why it’s so important to have regular eye exams to check for diabetic retinopathy.
Patients who have reached the proliferative retinopathy stage – where abnormal blood vessels grow on the retina – can be treated with a procedure called laser photocoagulation. A laser is used to seal off leaking blood vessels and prevent further growth of blood vessels that lead to loss of vision.
Insight Eye Clinic is equipped with the latest Multispot Laser for faster, precise, and painless laser procedures.
Drugs called as Anti VEGF agents have shown promising results in trials and may be able to stop and even reverse vision loss in patients with early stages of diabetic retinopathy and in Diabetic Macular Edema. These drugs have to be given as injections into the eye to be effective. The frequency and the number of injections needed depends upon the severity of the diabetic retinopathy. Needless to say that for the treatment to be effective a strict control of the blood sugar and associated diseases like hypertensive etc is essential.
Dr Nishikant Borse has been awarded the 'J M Pahwa Award' by the 'Vitreoretinal Society of India' for his work on Diabetic Retinopathy.
If you have blurred vision because of a vitreous haemorrhage – where blood leaks into the ‘gel’ that fills the eye or if the retina of the eye is getting detached due to diabetic retinopathy changes you may also need a surgery called Vitrectomy.
Insight Eye Clinic specialises in Minimally Invasive Vitrectomy Surgery (MIVS).This is a suture less procedure which offers the patient a very rapid postoperative recovery
Ans - Yes. The risk is only less in controlled diabetes.
Ans - The risk is considerably reduced, but other factors can influence retinopathy development like the duration of diabetes.
Ans - Yes, it can be due to retinopathy or due to fluctuating (high) blood sugar affecting the lens of the eye. It may be due to the onset of Presbyopia (need to wear glasses for close work) which usually starts to occur from mid-forties onwards.
Ans - Yes, there is! There is strong evidence that progression of retinopathy can be slowed by about 50% in many patients with Mild or Moderate disease. However, retinopathy is not slowed by improved blood glucose control when it is advanced, but response to laser treatment may be better.
Ans - Most people who have Anti VEGF injections treatment do not experience pain as the eye is well numbed with anaesthetic drops prior to the injections.
Ans - Intraocular Injections do have a risk of few complications. These complications are however rare. The benefits of these injection far outweigh these risks.
Ans - This may be necessary in some persons with macular disease if the disease remains active and recurs. The recurrence is due to multiple actors of which uncontrolled blood sugar is a major cause.
Ans - Treatment to the peripheral retina may cause transient pain and a dull ache for a few hours following treatment. The ophthalmologist will take measures to reduce pain from laser treatment.
Ans - Laser is extremely effective in most patients treated, but benefits may not occur for some months after it is finished. Vision may improve for a long time as the retinopathy stabilizes.
Ans - This may be necessary in some persons with progressive disease if the disease remains active and recurs in areas of the retina not previously requiring treatment.
Ans - As indicated, occasionally fluctuating vision is a clue. However, in early retinopathy there are no symptoms, and visual acuity is normal (unless cataract or other disease affecting sight is present). Hence, the need for routine retinal examinations. In many advanced cases too it has been observed that visual symptoms develop very late in the disease.
Visit us at Insight Eye Clinic and experience unrivalled professional service from the moment you step in. We offer the best Diabetic Retinopathy in Mumbai and assure our clients the highest quality eye care.
Dr. Nishikant Borse always makes his patient feel very comfortable, develops confidence in them and boosts the moral even in critical situation. He is very optimistic and never allows any of his patients to give up. His perseverance, willingness and dedication to reach out to his patients has developed a strong bond between him and his patients. He has a wonderful and a homely-feel staff.
MR SANIL VADKE
Dr. Borse one of the finest doctors that we have come across. He's one of the few doctors who takes personal care. Gives immediate treatment & Genuine advice. We have known him since 8 yrs & Have recommended him to all our friends & Relatives who are now his patients as well.
MR PRADIP THAKKAR
The Insight eye clinic of Dr Borse offers excellent and efficient eye care, always with a smile on their faces.Through my personal experience of both eyes surgeries and laser treatment for diabetic retinopathy, I can confidently say that Dr Borse and his team are highly dependably.
MRS ASHA PILLAI
We would specially like to mention here our wonderful experience with you and Dr. Veena, when you performed operation of my wife Mrs. Sulabha Tipnis. We have no word to express our happiness to meet you. We here by recommend you as one of the finest, humble, loving and caring Doctor with fantastic expertise in Ophthalmology to all the readers of your website. We would specially like to mention that you have a lovely staff, who are always caring for the patients. We wish you all the best in your future.
MR MILND TIPNIS
MRS SULBHA TIPNIS