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Your Family Eye Care Center – Located in the plaza of Walgreens & JCPenney

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Home » What’s New » Diabetes and Your Eyes

Diabetes and Your Eyes

Diabetes is becoming much more prevalent around the globe. According to the International Diabetes Federation, approximately 425 million adults were living with diabetes in the year 2017 and 352 million more people were at risk of developing type 2 diabetes. By 2045 the number of people diagnosed is expected to rise to 629 million. 

Diabetes is a leading cause of blindness as well as heart attacks, stroke, kidney failure, neuropathy (nerve damage) and lower limb amputation. In fact, in 2017, diabetes was implicated in 4 million deaths worldwide. Nevertheless preventing these complications from diabetes is possible with proper treatment, medication and regular medical screenings as well as improving your diet, physical activity and adopting a healthy lifestyle.

What is Diabetes?

Diabetes is a chronic disease in which the hormone insulin is either underproduced or ineffective in its ability to regulate blood sugar. Uncontrolled diabetes leads to hyperglycemia, or high blood sugar, which damages many systems in the body such as the blood vessels and the nervous system.  

How Does Diabetes Affect The Eyes?

Diabetic eye disease is a group of conditions which are caused, or worsened, by diabetes; including: diabetic retinopathy, diabetic macular edema, glaucoma and cataracts. Diabetes increases the risk of cataracts by four times, and can increase dryness and reduce cornea sensation.

In diabetic retinopathy, over time, the tiny blood vessels within the eyes become damaged, causing leakage, poor oxygen circulation, then scarring of the sensitive tissue within the retina, which can result in further cell damage and scarring. 

The longer you have diabetes, and the longer your blood sugar levels remain uncontrolled, the higher the chances of developing diabetic eye disease. Unlike many other vision-threatening conditions which are more prevalent in older individuals, diabetic eye disease is one of the main causes of vision loss in the younger, working-age population. Unfortunately, these eye conditions can lead to blindness if not caught early and treated. In fact, 2.6% of blindness worldwide is due to diabetes. 

Diabetic Retinopathy

As mentioned above, diabetes can result in cumulative damage to the blood vessels in the retina, the light-sensitive tissue located at the back of the eye. This is called diabetic retinopathy. 

The retina is responsible for converting the light it receives into visual signals to the optic nerve in the brain. High blood sugar levels can cause the blood vessels in the retina to leak or hemorrhage, causing bleeding and distorting vision. In advanced stages, new blood vessels may begin to grow on the retinal surface causing scarring and further damaging cells in the retina. Diabetic retinopathy can eventually lead to blindness. 

Signs and Symptoms of Diabetic Retinopathy

The early stages of diabetic retinopathy often have no symptoms, which is why it’s vitally important to have frequent diabetic eye exams. As it progresses you may start to notice the following symptoms:

  • Blurred or fluctuating vision or vision loss
  • Floaters (dark spots or strings that appear to float in your visual field)
  • Blind spots
  • Color vision loss

There is no pain associated with diabetic retinopathy to signal any issues. If not controlled, as retinopathy continues it can cause retinal detachment and macular edema, two other serious conditions that threaten vision. Again, there are often NO signs or symptoms until more advanced stages. 

A person with diabetes can do their part to control their blood sugar level. Following the physician’s medication plan, as well as diet and exercise recommendations can help slow the progression of diabetic retinopathy. 

Retinal Detachment

Scar tissues caused by the breaking and forming of blood vessels in advanced retinopathy can lead to a retinal detachment in which the retina pulls away from the underlying tissue. This condition is a medical emergency and must be treated immediately as it can lead to permanent vision loss. Signs of a retinal detachment include a sudden onset of floaters or flashes in the vision. 

Diabetic Macular Edema (DME)

Diabetic macular edema occurs when the macula, a part of the retina responsible for clear central vision, becomes full of fluid (edema). It is a complication of diabetic retinopathy that occurs in about half of patients, and causes vision loss. 

Treatment for Diabetic Retinopathy and Diabetic Macular Edema

While vision loss from diabetic retinopathy and DME often can’t be restored, with early detection there are some preventative treatments available. Proliferative diabetic retinopathy (when the blood vessels begin to grow abnormally) can be treated by laser surgery, injections or a procedure called vitrectomy in which the vitreous gel in the center of the eye is removed and replaced. This will treat bleeding caused by ruptured blood vessels. DME can be treated with injection therapy, laser surgery or corticosteroids. 

Prevent Vision Loss from Diabetes

The best way to prevent vision loss from diabetic eye disease is early detection and treatment. Since there may be no symptoms in the early stages, regular diabetic eye exams are critical for early diagnosis. In fact diabetics are now sometimes monitored by their health insurance to see if they are getting regular eye exams and premium rates can be affected by how regularly the patients get their eyes checked. Keeping diabetes under control through exercise, diet, medication and regular screenings will help to reduce the chances of vision loss and blindness from diabetes. 

 

In the wake of the latest recommendations from the Center for Disease Control and the World Health Organization, we wanted to make you aware of new procedures taking place at Maple Grove Vision Clinic, effective immediately.

HOURS OF OPERATION: We will be open Monday to Thursday 12PM -4PM and we will be closed on Fridays. If you currently have a scheduled appointment outside those hours, our staff will contact you to see how we can best meet your needs.

EMERGENCY VISION ISSUES: It’s extremely important not to neglect your vision needs during this time, so please don’t hesitate to call to schedule an appointment during the above hours in the event of injury, redness, discharge, possible infection, etc.

ROUTINE APPOINTMENTS: Currently, we are scheduling for routine exams for *after* April 6th. If you have a routine appointment already scheduled between now and April 6th, our staff will be contacting you to discuss your needs and how we can best meet them.

GLASSES OR CONTACTS (PREVIOUS ORDERS): You’ll get a call from our front desk (as always) when your glasses or contacts are ready for pickup, and you can stop in during our open hours (above) to pick up your orders. We can arrange free shipping as needed, although glasses are always best when we can fit them to you, in-person. Please call to discuss options.

NEED MORE CONTACTS? We need your business in order to stay in business, and we’re happy to re-fill orders for contacts and ship directly to your home for free.  Just call during our business hours to order or you can also go to our website www.maplegrovevisionclinic.com to order as well.

HOW TO REACH US: Call 763-420-8030 during business hours, or email us at drfrick@maplegrovevisionclinic.com

The health and safety of our patients has always been a top priority. As a reminder, here are the actions we take whenever a patient is in our office:

ONGOING SAFETY MEASURES:

NEW SAFETY MEASURES:

HOW YOU CAN HELP:

Please do not come in to our office if you’ve traveled out of the country in the last 14 days, have any symptoms of flu-like or respiratory illness, or have had known contact with anyone who has exhibited such symptoms or tested positive for the coronavirus. As noted above, we are happy to ship any orders directly to your home, or work with a family member to make sure your vision needs are being met.

We will continue to give (and follow) recommendations based on the evidence we have on safe delivery of eye care in a time of uncertainty.  We appreciate your continued support and understanding.

Sincerely,

Dr. Scott A. Frick and staff at MGVC

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Dear Patients- Our hours during this medical emergency are: Monday to Thursday 12PM -4PM and we will be closed on Fridays.

We are sorry for any inconvenience this may cause.