Talk on diabetes eye diseases

1. Diabetes and the Eye
Dr. Devin Prabhakar
MS, DNB, DO, FRCS

2. Eye Diseases in DM
 50% diabetics have eye diseases
 Diabetics have 25 times more chance for
blindness
 2 times more chance for glaucoma and
cataract

3. Routine eye check up
 Diabetics - Once a year
 Non diabetics > 40 years - Once in 2 years

4. Incidence of Diabetes Eye
diseases
 Diabetic control
 The number of years patient was
diabetic

5. External eye diseases
 Stye
 Chalazion
 Blepharitis
 Recurrent stye

6. Section of a Normal Eye

7. Causes of defective vision in
Diabetics
 Cataract
 Glaucoma
 Diabetic retinopathy

8. Cataract
Retinopathy Glaucoma

9. Cataract
• Early stages maybe reversible.
• Can develop in a few days

10. Management of Cataract – Old and New

11. Small Incision Cataract Surgery Phacoemulsification
Intraocular Lens Implantation

12. DM control before cataract
surgery
 RBS <200
 No active infections
 Life long control of Diabetes is vital

13. Cataract surgery – 90 years or 9 years!!

14. Glaucoma
 Pressure more than the eye can
tolerate.
 Causes permanent damage
 Visual field testing

15. An example for Glaucoma Field Loss

16. Early Detection of Glaucoma
is vital
 Dilated Fundus Evaluation
 Applanation Tonometry
 Pachymetry
 Perimetry

17. Glaucoma : Thief of Sight
 Silent thief of sight
 Permanent loss
 Preventable blindness

18. Management of Glaucoma
 Medical
 Surgical
 Laser

19. Glaucoma
BEWARE and BE AWARE

20. Diabetic Retinopathy

21. Diabetic Retinopathy

22. Normal Fundus Appearance

23. Advanced Diabetic Retinopathy

24. Treatment of retinopathy
 Not all cases require treatment
 Laser treatment

25. What next …..
 With good DM control 30% of
retinopathy stabilizes or improves
 Good treatment is now available at an
affordable price
 Update yourself or latest medications
and followup regimen.

26. Laser Therapy

27. To summarise…
 50% of Diabetics have DED
 DED has no symptoms in early stages
 Aim of treatment is vision preservation
 Early detection and treatment can prevent
permanent blindness

28. For more information
 Facebook.com/DevinPrabhakar
 www.DivyaPrabha.in

29. Divya Prabha Eye Hospital
“Check yearly to see clearly”
Divya Prabha Eye Hospital
 2442050
Thank you