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Diabetes and Eyes

We are all different

Unique Eyes

Diabetes affects your entire body, including your eyes.

According to The American Academy of Ophthalmology, diabetics are 25 times more likely to lose vision than those without this disease. The most common complication of diabetes is diabetic retinopathy, and the longer you have diabetes, the more likely it is that you’ll develop diabetic retinopathy.

High blood sugar levels, as associated with diabetes, often affect blood vessels in the retina of the eye, causing diabetic retinopathy. There are 2 stages of classifications of diabetic retinopathy: non-proliferative or proliferative.

Non-proliferative retinopathy, sometimes known as background diabetic retinopathy, is the most common form of the disease. This condition is first diagnosed when small retinal blood vessels start to swell. As the disease progresses, these blood vessels break and leak blood.

Proliferative retinopathy is the more advanced stage of diabetic retinopathy. As the condition progresses, more and more blood vessels are blocked. Sensing the need for new blood vessels to supply nourishment, new blood vessels grow, but they are frail and abnormal, often hemorrhaging and scarring. Patients with this type of diabetic retinopathy can experience severe vision loss, and even blindness.

At both the early and advanced stage, fluid can leak into the macula, the center of the retina that allows you to see fine detail. Known as macula edema, it is another common cause of vision loss in diabetics.

It is worth noting that smoking does accelerate the damaging effect that diabetes has on the retina. Several other influencing factors include your genes, your blood pressure levels, how long you have had diabetes and of course, your blood sugar level.

In the early and most treatable stages of diabetic retinopathy, there are usually no visual symptoms or pain. In fact, many times the disease can even progress to an advanced stage without your noticing the gradual change in your vision.

Symptoms of diabetic retinopathy may include:

Abnormal patterns in the field of vision
Dark streaks in your vision
Sudden onset of decreased vision
Distorted central vision
Floaters
Red film that blocks vision
Blind spots
Poor night vision
Items may have a blue-yellow color tone, interfering with color perception

We strongly recommend that all diabetics have yearly comprehensive medical eye exams. Your eye doctor will dilate your eyes and check your retina, blood vessels and optic nerves for changes. We may also order a fluorescein angiography to track and photograph dye as it flows through the retina to look for leaking blood vessels.

We also commonly perform an Optical Coherence Tomography (OCT) to assess fluid accumulation (macular edema) in the retina of diabetics. The OCT can show areas of retinal thickening and is often a useful tool in assessing a patient’s response to a treatment.

Treatment

The most important tool for treating diabetic retinopathy is good management of the underlying diabetic condition. Nevertheless, once diabetic retinopathy has presented itself, there are several methods of treatment. Lasers are the mainstay; often used to treat the early stages of diabetic retinopathy by sealing leaking blood vessels. More advanced cases may require a vitrectomy, a surgical procedure needed when the vitreous, the gel in the eye, contains a great amount of blood.

The optimal time for treatment is before the patient experiences visual symptoms so early detection and treatment is the best protection against significant vision loss. Diabetic retinopathy can progress into its advanced stages with no pain, no recognizable vision loss. That’s the reason it is so important for all diabetics to get a yearly comprehensive medical eye examination.

Please take time to educate yourself, and any loved ones with diabetes, on how to preserve their vision.

If you are diabetic and would like to schedule an appointment for a comprehensive medical exam at The Eye Associates, please call 1-866-865-2020.

Is Eyelid Surgery for you?

Eyelid surgery and insurance coverage

Your eyes are one of the first things people notice, and unfortunately your eyes are also one of the first features to show signs of aging. Hooded, sagging upper eyelids can give you an older, tired appearance, and often even obstruct your vision, making everyday activities like driving more dangerous. Our eyelid surgery in Bradenton can improve your vision as well as take years off your looks.

Eyelid surgery, known as blepharoplasty, is a common outpatient surgical procedure which removes excess skin and fatty tissue from around the eye area. Whenever eyelids are interfering with the field of vision, causing difficulty with everyday activities such as driving and reading, eyelid surgery can vastly improve the peripheral vision.

“Our goal at The Eye Associates is to enhance the appearance of your eyelids without the slightest hint of a surgical look” says Dr. Charles Anthony II, Fellowship Training Cosmetic Surgeon. “People often remark about what a dramatic difference it makes in their looks and attitude as well as vision.”

Insurance Coverage of Eyelid Surgery

You’ll also be happy to know that Medicare and private insurance usually covers “functional” eyelid surgery, when a minimum criteria of vision loss is met. A test, called a Visual Field, will be performed to document this loss of visual field.

However, cosmetic eyelid surgery is not usually covered by insurance. “Cosmetic” is defined as a procedure that is undertaken to improve appearance instead of visual function. While upper eyelid surgery is often considered medical in nature, lower eyelid blepharoplasty is always considered to be cosmetic.

The best way to determine if you should consider blepharoplasty surgery is simple: Look in the mirror. Do you appear tired even though you aren’t? Is the skin of your upper eyelid hanging over the normal lid crease and nearing the eyelashes? If the answer is YES, call toll free 1-866-865-2020 for your FREE eyelid screening at The Eye Associates today.