Diabetic retinopathy: Difference between revisions

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In treating advanced diabetic retinopathy, the burns are used to destroy the abnormal new blood vessels that form in the retina. This has been shown to reduce the risk of severe vision loss for eyes at risk by 50%.<ref name=kertes2007>{{Cite book|veditors=Kertes PJ, Johnson TM |title=Evidence Based Eye Care |year=2007 |isbn=978-0-7817-6964-8 |publisher=Lippincott Williams & Wilkins |location=Philadelphia, PA}}{{Page needed|date=September 2010}}</ref>
 
Before using the laser, the ophthalmologist dilates the pupil and applies [[anaesthetic]] drops to numb the eye. In some cases, the doctor also may numb the area behind the eye to reduce discomfort. The patient sits facing the laser machine while the doctor holds a special lens on the eye. The physician can use a single spot laser, a pattern scan laser for two dimensional patterns such as squares, rings and arcs, or a navigated laser which works by tracking retinal eye movements in real time.<ref>{{cite journal | vauthors = Amoroso F, Pedinielli A, Astroz P, Semoun O, Capuano V, Miere A, Souied EH | title = Comparison of pain experience and time required for pre-planned navigated peripheral laser versus conventional multispot laser in the treatment of diabetic retinopathy | journal = Acta Diabetologica | volume = 57 | issue = 5 | pages = 535–541 | date = May 2020 | pmid = 31749047 | doi = 10.1007/s00592-019-01455-x | s2cid = 208172191 }}</ref><ref>{{cite journal | vauthors = Chhablani J, Mathai A, Rani P, Gupta V, Arevalo JF, Kozak I | title = Comparison of conventional pattern and novel navigated panretinal photocoagulation in proliferative diabetic retinopathy | journal = Investigative Ophthalmology & Visual Science | volume = 55 | issue = 6 | pages = 3432–3438 | date = May 2014 | pmid = 24787564 | doi = 10.1167/iovs.14-13936 | doi-access = free }}</ref> During the procedure, the patient will see flashes of light. These flashes often create an uncomfortable stinging sensation for the patient. After the laser treatment, patients should be advised not to drive for a few hours while the pupils are still dilated. Vision will most likely remain blurry for the rest of the day. Though there should not be much pain in the eye itself, an [[ice-cream headache]] like pain may last for hours afterwards.
 
Patients will lose some of their peripheral vision after this surgery although it may be barely noticeable by the patient. The procedure does however save the center of the patient's sight. Laser surgery may also slightly reduce colour and night vision.