What does diabetic eyes disease want to check

What does diabetic eyes disease want to check
What does diabetic eyes disease want to check
Ms. Li more than 40 years old has suffered from diabetes for 10 years, nowadays the right eye loses one's sight, the left eye has only manual eyesight. The first visit is broken to appear in that period of time suffering from diabetes the most, Ms. Li's eyes have nothing uncomfortable, make any ophthalmology department, check, not very positive either in the treatment of diabetes, because she thinks oneself young, no question. But gradually, she feels that it is a bit fuzzy to see the things, and the less see clearly. Until one day, family find she can not see the water accumulation of the road surface on foot, have a meal and does not see the dish to be inserted clearly, this just urges her to go to the hospital to check quickly. The doctor finds, Ms. Li not only suffers from cataract but also diabetes and retinal pathological change have appeared. In subsequent a a few years, eyesight of Ms. Li more and more bad, right eye appear new born blood vessel glaucoma, having lost one's sight gradually, the left eye has reached the most serious proliferating phase of retinal pathological change of diabetes too, the vitreous body appears to bleed and pulling retinal detachment. Through the operation, though the left eye has kept manual eyesight, her life has lost gorgeous color forever. Diabetes can cause blind diabetes to be disease of a kind of influence whole body blood-vascular system, have already become a very important causing the blind reason. Clinical research indicates, the diabetic only pays attention to checking with early optical fundus, diabetes retinal pathological change can be prevented and controlled. Once diabetes is diagnosed clearly, the patient must carry on the optical fundus and check and do the record well, offer contrast for following up a case by regular visits to. The optical fundus have no patient unusual or who has the slight pathological change, had better check optical fundus once every year: Patient of severe optical fundus pathological change while having already, propose checking once 3- 6 months. Main optical fundus check several kinds have: 1. The ophthalmoscope will make the retinal capillary lose normal structure and function if the ophthalmoscope checks too high blood glucose, expanding out and forming little aneurysm of the blood vessel wall happens, the never sound tube wall seepage of liquid in the blood vessel reaches the retina, cause the retina edema, macula lutea edema, retina to bleed. The doctor can observe these pathological changes through the direct ophthalmoscope, and make a video recording through the optical fundus technology write down pathological change. 2.Fluorogenic angiography (FFA) of optical fundus The fluorogenic angiography of optical fundus can produce the dyestuffs of the fluorogenic effect to inject into the blood vessel fast, employ plusing and straining the optical fundus camera of slice of color at the same time and carry on an inspection method observed and taken pictures. Slight situation that the ophthalmoscope can not be found that this kind can check and use to check separately to a lot of. When pathological change has already quite seriously needed to do the laser to treat, the fluorogenic angiography of optical fundus can confirm the laser treats the position. 3.When some diabetics of eyes Ultrasonography B go to a doctor, eyes have already been close and lose one's sight, because cataract or blood of glass volume makes the retina unable to be seen. Clear vitreous body and retinal state come with Ultrasonography B to need at this moment, the possibility that can also roughly infer at the same time the operation regains one's sight. 4.The relevant fault of optics scans (OCT) This kind checks untouchably, not has damaging, high-resolution, can scan the cross section to the retina, have unique meanings in the diabetes hydropic checking of macula lutea. It can observe the range, type and severity with hydropic macula lutea, guides and treats, can also analyze the result after treating. Treating the diabetic eyes disease wants three to control the blood vessel of optical fundus is the only blood vessel that can see with the naked eye of whole body. Its situation of pathological change not only can reflect damaged situation of the retina directly, can also reflect the extent of damage to the blood capillary of whole body of disease, and then judge the damaged state of other internal organs. Eyesight is not very equal to as the retinal pathological change of diabetes nature, check early, diagnose early, treat early, can protect the diabetic's eyesight to a great extent, reduce emergence and development of the serious complication. While treating diabetic optical fundus pathological change, should also accomplish three to control, namely control blood glucose, blood pressure and fat of blood actively. Hyperglycemia, hypertension and hyperlipemia are pressed on the blood vessel like three big mountains, make blood vessel to be narrow blocking, cause the intersection of supply and the intersection of area and ischemic, oxygen deficiency its, produce a series of pathological change. Only push over this three big mountains, liberate the blood vessel. Could improve some blood supplt fundamentally, offer enough nutrition for organizing cells, make the organism have normal functions.


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