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WE WILL BE CLOSING AT 3 PM ON FRIDAY SEPT . 13,
AND 1 PM ON FRIDAY SEPT. 20.
THE OFFICE WILL BE CLOSED ON SAT. SEPT 14th AND 21st

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Thursday 10:00am thru 7:00pm
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1360 Montauk Highway, Suite 2E
Mastic, NY 11950
Phone: (631) 281-2474 | (631) 281-2476

Diabetic Retinopathy Explained

Diabetic Retinopathy is an eye condition that affects the retina in people who have diabetes.

The retina is the light-sensitive tissue that lines the back of the eye, and detects light that is then processed as an image by the brain. Chronically high blood sugar or large fluctuations in blood sugar can damage the blood vessels in the retina. This can result in bleeding in the retina or leakage of fluid.

Diabetic retinopathy can be divided into non-proliferative or proliferative diabetic retinopathy.

Non-proliferative diabetic retinopathy: In the early stage of the disease, there is weakening of the blood vessels in the retina that causes out-pouching called microaneurysms. These microaneurysms can leak fluid into the retina. There can also be yellow deposits called hard exudates present in the retina from leaky vessels.

Diabetic macula edema is when the fluid leaks into the region of the retina called the macula. The macula is important for sharp, central vision needed for reading and driving. The accumulation of fluid in the macula causes blurry vision.

Proliferative diabetic retinopathy: As diabetic retinopathy progresses, new blood vessels grow on the surface of the retina. These blood vessels are fragile, which makes them likely to bleed into the vitreous, which is the clear gel that fills the middle of the eye. Bleeding inside the eye is seen as floaters or spots. Over time, scar tissue can then form on the surface of the retina and contract, leading to a retinal detachment. This is similar to wallpaper contracting and peeling away from the wall. If left untreated, retinal detachment can lead to loss of vision.

Symptoms of diabetic retinopathy:

  • Asymptomatic: In the early stages of mild non-proliferative diabetic retinopathy, the person will usually have no visual complaints. Therefore, it is important for people with diabetes to have a comprehensive dilated exam by their eye doctor once a year.
  • Floaters: This is usually from bleeding into the vitreous cavity from proliferative diabetic retinopathy.
  • Blurred vision: This can be the result of fluid leaking into the retina, causing diabetic macular edema.

Risk factors for diabetic retinopathy:

  • Blood sugar. Lower blood sugar will delay the onset and slow the progression of diabetic retinopathy. Chronically high blood sugar and the longer the duration of diabetes, the more likely chance of that person having diabetic retinopathy.
  • Medical conditions. People with high blood pressure and high cholesterol are at greater risk for developing diabetic retinopathy.
  • Ethnicity. Hispanics, African Americans and Native Americans are at greater risk for developing diabetic retinopathy.
  • Pregnancy. Women with diabetes could have an increased risk of developing diabetic retinopathy during pregnancy. If they already have diabetic retinopathy, it might worsen during pregnancy.

Article contributed by Jane Pan M.D.

 
https://eyeiq.net/m/article.php?b=190&id=10608&utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+EyeIqByEyemotion+%28EyeMotion+Silver+Exclusive+Content%29


 

A Child's Vision

What are conditions that can affect a child’s vision and the potential for learning? What is Amblyopia? What is Strabismus? What about Convergence Insufficiency? These are serious conditions of a child’s eye that need addressed. Did you know that 80% of learning comes through vision? The proverb that states, ”A picture is worth a thousand words” is true! But what if a child cannot visually see or process those words?

Let’s explore Amblyopia , or “lazy eye”. It affects 3-5% of the population, enough that the federal government funded children’s yearly eye exams into the Accountable Care Act or ObamaCare health initiative. Amblyopia occurs when the anatomical structure of the eye is normal, but the “brain -eye connection” is malfunctioning. In other words, it is like plugging in your computer to the outlet and the power never gets to the computer all the way.

Amblyopia need to be caught early in life, in fact if it is not caught and treated early (before age 8) it can lead to permanent vision impairment. Correction with glasses or contacts and patching the good eye daily are ways it is treated. Most eye doctors agree that the first exam should take place in the first year of life. Early detection is a key.

Strabismus is a condition that causes an eye to turn in (esotropia), out (exotropia), or vertically. It can be treated with glasses or contacts, and if needed surgery. Vision therapy or strategic eye exercises prescribed by a doctor can also improve this condition. In fact, vision therapy is the treatment of choice for Convergence Insufficiency.

When we read, our brain tells our eyes to turn in to a comfortable reading posture. In Convergence Insufficiency, the brain tells the eyes to turn in, but they instead turn out, causing tremendous strain on that child’s eye for reading. Another tell tale sign of this condition is the inability to cross your eyes when a target approaches. The practitioner will see instead, that one of the eyes kicks out as the near target approaches. This condition can be treated with reading glasses or contacts, and eye exercises that teach the muscles of the eye to align properly during reading.

It is important to understand the pediatric eye and all the treatments that can be implemented to augment the learning process. Preventative care in the form of early eye examinations can mean the difference between reading properly or struggling badly in a child’s learning. Remember, a young child can’t tell you if they have a vision impairment or not. For the success of the child: be proactive in encouraging exams in the first year of life and beyond.

 

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Vacation 2019
May 6, 2019
The office will be closed for vacation from Saturday May11 through Tuesday May 28. A staff member will be here for pickups and future appointmen...

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