Our diabetic eye care experts at OCLI understand that well controlled blood sugar can be difficult to achieve, especially in patients who are insulin dependent or insulin resistant. This surgery is generally used to treat the most advanced version of diabetic retinopathy. A vitrectomy is a surgical procedure in which parts of the vitreous gel (in the middle of the eye) are removed. Corticosteroids can be injected or implanted into the eye to suppress diabetic macular edema, reducing swelling. Anti-VEGF drugs can be injected into the vitreous gel (in the middle of the eye) to block vascular endothelial growth factor (VEGF), which keeps new, abnormal blood vessels from growing. Some treatments for diabetic macular edema include: The swelling associated with diabetic retinopathy (referred to as diabetic macular edema) can be treated a number of ways. Symptoms that may be noticeable include blurring of vision, increased floaters or a sudden decrease in vision. Even potentially blinding stages of diabetic retinopathy may not have symptoms and this is why it is so important that you have your eyes checked at least annually even if your vision seems fine. Generally, the early stages of diabetic retinopathy do not have symptoms. In the later stages, accompanying scar tissue can contract and pull the retina off of the interior eye lining, forming a “traction” retinal detachment. These blood vessels may bleed into the middle of the eye or the “vitreous cavity” and cause floaters or decreased vision. Although this may seem like a healing process, these blood vessels are fragile and grow into the vitreous gel and along the surface of the retina.
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