Diabetic retinopathy treatment

Early diagnosis is essential in order to receive suitable treatment for diabetic retinopathy. After the diagnosis, the initial treatment may be the intravitreal injection of antiangiogenics or laser photocoagulation:

  • If there is a haemorrhage in the macula, the small scars caused by the laser impacting on the vessels will close those with excess permeability through which liquid comes out. Also, the laser will open new conducts for the evacuation of accumulated liquid.
  • In proliferative diabetic retinopathy, retina photocoagulation (panretinal photocoagulation) eliminates areas without risk so that more oxygen can enter zones where there is more vision and so that no abnormal vessels that may bleed can form.

If an eye haemorrhage has already occurred (vitreous haemorrhage), laser treatment might not be able to be applied, as the ophthalmologist does not have enough visibility. A certain waiting time may be necessary to see if the haemorrhage clears up. This time varies for each patient. If the haemorrhage does not clear within reasonable time, an operation called vitrectomy may be needed.

Depending on the complexity and age of these scars, second operations may also be required.

At our Laservisión clinic we have the most advanced Fluorescein Angiography diagnosis system, a digital photography device with excellent image quality that provides the ophthalmologist with a greater insight into lesions in the diabetic person’s retina and, therefore, enables better decision making.