Ophthalmologist Dr. Instructor Member Mustafa Apa noted that the presence of pregnancy, hypertension, kidney disease and anemia can adversely affect eye involvement in diabetics.
Emphasizing that patients may have a slowly progressive decrease in vision, there may also be sudden vision loss, Apa said, “However, patients may not have any complaints about vision despite the onset of damage to their eyes. This shows the importance of the examination of diabetics by an ophthalmologist together with a diabetes specialist. Severe vision loss can be prevented in many diabetic patients with early diagnosis, treatment and frequent controls. made a statement.
Apa made the following assessments:
“The most important complication of diabetes and the main cause of blindness is retinal involvement. Deterioration of vascular permeability by causing cell loss causes fluid accumulation in the yellow spot region that allows us to see the center. In addition, it leads to the emergence of areas that are not fed by clogging the capillaries. New vessels are formed in the retina that can bleed spontaneously. Hemorrhages occurring in front of and inside the retina may infiltrate into the posterior cavity of the eye. Vascular membranes form in the retina. These newly formed sensitive vessels may also bleed and cause intraocular hemorrhage and retinal detachment (decomposition of retinal tissue).
Patients with poorly controlled diabetes are at higher risk. However, good metabolic control does not eliminate the risk of eye damage. In addition, cataracts occur more frequently and at younger ages in diabetic patients than in non-diabetic patients. People with diabetes have a 60 percent higher risk of developing cataracts. However, cataracts appear much earlier and progress very quickly. Good blood sugar control both reduces this risk and slows the progression of cataracts.”
Stating that glaucoma, also known as eye pressure and caused by damage to the eye nerves for different reasons, is seen both more frequently and at an earlier age in diabetics, Apa said, “The probability of developing glaucoma in people with diabetes is twice that of those without diabetes. Control and regular eye examination are important.
Transient visual disturbances can be seen in diabetics with irregular blood sugar and fluctuations in the form of rise and fall. As a result, temporary changes may occur in glasses numbers. These complaints resolve when blood sugar returns to normal levels. People with variable blood sugar should pay attention to their blood sugar levels while buying glasses and should definitely consult a doctor.
Stating that diabetic patients should be examined by an ophthalmologist without waiting for a decrease in their vision, Apa said, “Lesions detected in the early stage can be treated more effectively and safely.
Blood sugar level, hypertension, cholesterol level and other important tests should also be kept under control by the doctor who deals with your diabetes. Affecting diabetes is rarely seen in the first 10 years after diagnosis, but it can be seen within 5 years, even at the time of diagnosis. Although the eye is affected in the early period, there is no decrease in the level of vision and the patients do not realize it. Therefore, every patient diagnosed with diabetes should consult an ophthalmologist.