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What You Should Know about Diabetes and Your Vision

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Diabetes affects people of all ages, races and genders.  An estimated 25.8 million Americans or 8.3 percent of the population suffer from the disease, according to data published by the Centers for Disease Control and Prevention in 2011. In fact, diabetic eye disease is the leading cause of new cases of blindness among adults in the North America.

If you or someone you care for has diabetes, here are 6 things you need to know about how it impacts eyes and vision.

  1. What is diabetic eye disease?
    Diabetic eye disease is most commonly associated with diabetic retinopathy, which is characterized by damage to the blood vessels of the retina and can lead to blindness. According to the National Eye Institute, it can also cause premature cataracts and glaucoma.
  2. How does it impact vision?
    In diabetic retinopathy, the small blood vessels that nourish the retina at the back of the eye become weak as a result of fluctuating sugar levels in the bloodstream. This causes bleeding at the back of the eye, reduced circulation and less oxygen and nutrients reaching the retina. As a result, new fragile blood vessels are produced to compensate. However, the abnormal blood vessels can start leaking fluid and small amounts of blood into the retina, causing vision loss. In the worst cases, the retina can scar or detach, causing permanent vision loss.
  3. What are the symptoms?
    At first, someone with diabetic retinopathy may not experience any noticeable symptoms. That is why early detection is crucial and diabetics should have a dilated eye exam at least once a year to screen for diabetic retinopathy. In most cases, by the time you realize something is wrong, the disease is so far advanced that lost vision can't be restored.

    In its advanced stage symptoms may include:

    • Fluctuating vision
    • Eye floaters and spots
    • The development of a shadow in your field of view
    • Blurry vision, or double vision
  4. Who is at risk?
    Anyone who has diabetes type 1 or type 2 has a greater chance of developing vision loss. Even gestational diabetes and pre-diabetes increase the risk of diabetic eye disease.  An estimated 40 to 45 percent of Americans diagnosed with diabetes have some degree of diabetic retinopathy, according to the NEI. That is why anyone with diabetes should have a comprehensive dilated eye exam at least once a year. The longer you have diabetes, the more likely it is to have an effect on your vision.

    Race and family history can also put you at risk for the disease. If you are of Hispanic, African, Asian, Pacific Island, or Native American descent, you are more likely to develop diabetes. Lifestyle - including your weight, diet and how active you are - also plays a role in the development and management of diabetes, as well as its effect on the eyes.

  5. How is diabetic eye disease treated?
    There are effective medical treatments, including injections into the eye to prevent leaking blood vessels and laser treatment to prevent and reduce vision loss as a result of diabetes, but early detection and treatment are vital!
  6. What steps can I take to reduce diabetes related vision loss?
    Make sure to keep your blood sugar levels under control and monitor your blood pressure and cholesterol. Speak to your doctor about what your target goals should be to prevent further deterioration. Often, when diabetes causes damage to the eyes, it is also an indication of the damage occurring in the kidneys and other areas in the body with small nerves and blood vessels, too. Exercise, maintain a healthy diet and keep your cholesterol levels low. Schedule eye exams yearly or as often as your eye doctor and medical doctor advise.

Knowing the risks and symptoms of diabetic retinopathy is not enough. If you or a loved one has diabetes, don’t take chances. The only real way to safeguard your vision is by making your eye health a priority.

Take a diabetes risk test.

We hope this finds you all healthy and safe.  We are pleased to announce our re-opening for routine eyecare on Monday May 11, 2020.

As a valued member of our Lake Erie Family Eyecare patient community, we appreciate the trust you place in us and want to inform you about how we are addressing the coronavirus (COVID-19) situation.

Please know that our office is following all recommended guidance from public health authorities, including best practices for hygiene, infection control and medical professional team health. We feel confident in our ability to continue seeing patients and providing primary care according to the tradition of quality care that you have come to expect and deserve.

Our highest priority is to keep all of our patients and staff as safe as possible.

The coronavirus spreads very easily. So, please call us before you come in for an appointment if you have any of these symptoms or risk factors:

 

As a staff we will be wearing masks and request that you do as well for everyone’s safety and to limit the possibility of exposure.  If you do not have a mask, we may be able to provide you with one while our supply lasts.

Please try to complete all necessary paperwork prior to your scheduled apt (can be found on our website..)

We are requesting that only scheduled patients enter the office ( including glasses selection and dispensing/adjustments to help practice social distancing and to keep foot traffic limited as much as possible (if the patient is a minor or requires the assistance of a caregiver, please limit this to one additional person if possible)

For contact lens orders, please call ahead for curbside pickup

We are excited to resume patient care and will continue to closely monitor events in our local community in order to continuously update our policies and protocols as a result of new information.

Thank you for your understanding and please know that we appreciate your trust. We hope you and your family are well and continue to stay healthy & safe during this time.

With kind regards,

Dr. Jennifer Felbinger and the Lake Erie Family Eyecare team.