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Open Hand from Deafblind UK - Spring 2019 LoRes

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A condition:<br />

What is diabetic<br />

retinopathy?<br />

Developing in stages over<br />

time, diabetic retinopathy is<br />

one of the leading causes of<br />

sight loss across the world.<br />

It can affect any age group,<br />

with national screening being<br />

offered <strong>from</strong> the age of 12<br />

to identify the early signs.<br />

If left untreated it can lead<br />

to blindness, although it<br />

takes several years for the<br />

condition to develop.<br />

What causes<br />

diabetic retinopathy?<br />

Currently affecting around a third<br />

of the diabetic population, diabetic<br />

retinopathy (DR) is a complication<br />

caused by high blood sugar<br />

levels which damages the retina.<br />

The retina is made of cells that<br />

convert light into electric signals,<br />

which are sent to the brain and<br />

turned into images.<br />

To function properly, the<br />

retina needs a constant blood<br />

supply. If the blood sugar is<br />

persistently too high the blood<br />

vessels supplying the retina can<br />

become damaged.<br />

Signs and symptoms<br />

Early stages of DR do not usually<br />

present symptoms, however<br />

you should always seek medical<br />

assistance if you notice:<br />

• nBlurred or patchy vision<br />

• nEye pain or redness<br />

• n“Floaters” – shapes in your<br />

field of vision<br />

• nWorsening vision or sudden<br />

total loss<br />

A human eye<br />

Over time a persistently<br />

high blood sugar level<br />

can damage these blood<br />

vessels. This happens in<br />

three stages:<br />

1 There are small<br />

changes in the eye but<br />

sight is not affected and<br />

treatment is not needed.<br />

There is an increased<br />

risk of future sight loss.<br />

2 There are greater<br />

changes to the eye<br />

including retinal bleeds.<br />

Sight is affected and<br />

diabetic screenings<br />

should increase to every<br />

3-6 months.<br />

3 There are significant<br />

changes in the eye,<br />

bleeds and retinal<br />

detachment. There is<br />

significant sight loss<br />

and treatment can<br />

stabilise but cannot<br />

improve your sight.<br />

Treatment<br />

and prevention<br />

The risk of developing DR can<br />

be reduced by controlling your<br />

blood sugar, blood pressure<br />

and cholesterol levels alongside<br />

taking all prescribed diabetic<br />

medications and living a<br />

generally healthy lifestyle.<br />

(Your GP can give advice about<br />

a healthy lifestyle). Also, ensure<br />

you attend your yearly diabetic<br />

eye screening appointment.<br />

Depending on the severity of<br />

the condition, laser treatments,<br />

eye injections or even eye<br />

surgery may treat DR.<br />

Having a sight test<br />

National charity Diabetes <strong>UK</strong> offers local support<br />

groups and advice lines, though you should always<br />

consult your GP for medical advice.<br />

18 <strong>Open</strong> <strong>Hand</strong><br />

<strong>Open</strong> <strong>Hand</strong> 19

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