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Diabetic Eye Exam

What Is A Comprehensive Dilated Eye Exam?

What Is A Comprehensive Dilated Eye Exam?

You may think your eyes are healthy, but visiting an eye care professional for a comprehensive dilated eye exam is the only way to really be sure. During the exam, each eye is closely inspected for signs of common vision problems and eye diseases, many of which have no early warning signs. Annual comprehensive dilated eye exams are generally recommended starting at age 60. However, African Americans are advised to start having comprehensive dilated eye exams starting at age 40 because of their higher risk of glaucoma. It’s also especially important for people with diabetes to have a comprehensive dilated exam at least once a year. Key elements of a comprehensive dilated eye examination include dilation, tonometry, visual field test and a visual acuity test. Dilation is an important part of a comprehensive eye exam because it enables your eye care professional to view the inside of the eye. Drops placed in each eye widen the pupil, which is the opening in the center of the iris (the colored part of the eye). Dilating the pupil allows more light to enter the eye the same way opening a door allows light into a dark room. Once dilated, each eye is examined using a special magnifying lens that provides a clear view of important tissues at the back of the eye, including the retina, the macula, and the optic nerve. This video describes what a doctor sees when examining the retina, optic nerve and macula after the pupils are dilated. In a person with diabetic retinopathy, the most common diabetic eye disease and a leading cause of blindness in the United States, the exam may show swelling or leaking of blood vessels in the retina, the light-sensitive layers of tissue at the back of the eye. The eye care professional may also see abnormal growth of blood vessels in the retina Continue reading >>

Diabetes Discovery – Via The Eyes

Diabetes Discovery – Via The Eyes

Did you know that an eye exam can be the first clue to detecting diabetes and other hidden health concerns? Finding health issues early can give patients a better chance at preventing damage through early treatment and management. A routine eye exam can show so many things. Some can be downright life changing – and life-saving – for that matter. One doctor found out first-hand when she did the same thing she does every day – she looked into a patient's eyes. But this was no ordinary exam. When Kathleen Clary, OD, peered into her 48-year-old patient’s eyes, she saw blood and other fluids seeping out of fragile and miniscule vessels in her retinas. The retina is the light and sight-sensing back part of the eye – and without it, you don't see. “As soon as I noticed the leaking fluids and the hemorrhaging, I suspected that they might be symptoms of diabetes,” recalls Dr. Clary, who practices in the Washington, D.C., suburb of Ashburn, Virginia. “In my 12 years of experience as an eye doctor, that kind of bleeding usually signals that a buildup of sugar in the patient’s bloodstream has begun to break down the capillaries that feed the retina. The result is often what we call diabetic retinopathy – a condition in which continuing damage to retinal tissue from diabetes can lead to impaired vision or even blindness, if left untreated.” The eye exam was the very first clue the patient had that she might have diabetes. Dr. Clary talked with her patient about what she saw and explained what it could mean. “I want you to have your blood sugar level checked right away by your family doctor,” she told her patient. “Tell the doctor you need to be evaluated for diabetes with a fasting blood sugar test, because your optometrist noticed some retinal bleeding. Continue reading >>

Diabetic Eye Screening

Diabetic Eye Screening

Diabetic eye screening is a key part of diabetes care. People with diabetes are at risk of damage from diabetic retinopathy, a condition that can lead to sight loss if it's not treated. Diabetic retinopathy is one of the most common causes of sight loss among people of working age. It occurs when diabetes affects small blood vessels, damaging the part of the eye called the retina. When the blood vessels in the central area of the retina (the macula) are affected, it's known as diabetic maculopathy. People with diabetes should also see their optician every two years for a regular eye test. Diabetic eye screening is specifically for diabetic retinopathy and can't be relied upon for other conditions. Why eye screening is needed Screening is a way of detecting the condition early before you notice any changes to your vision. Diabetic retinopathy doesn't usually cause any noticeable symptoms in the early stages. If retinopathy is detected early enough, treatment can stop it getting worse. Otherwise, by the time symptoms become noticeable, it can be much more difficult to treat. This is why the NHS Diabetic Eye Screening Programme was introduced. Everyone aged 12 and over with diabetes is offered screening once a year. Diabetic retinopathy is extremely unusual in children with diabetes who are under the age of 12. The check takes about half an hour and involves examining the back of the eyes and taking photographs of the retina. When diabetic eye screening is offered Everyone with diabetes who is 12 years of age or over should be invited to have their eyes screened once a year. You should receive a letter from your local Diabetic Eye Screening Service inviting you to attend a screening appointment. The letter will include a leaflet about diabetic eye screening. People with di Continue reading >>

What You Should Know About Diabetes And Eye Exams

What You Should Know About Diabetes And Eye Exams

Overview Diabetes is a disease that profoundly affects many areas of your body, including your eyes. It increases your risk for eye conditions, such as glaucoma and cataracts. The primary concern for eye health in people with diabetes is the development of diabetic retinopathy. Diabetic retinopathy is a condition that develops when the blood vessels in your retina become damaged. The retina is the light-sensitive portion of the back of your eye. As the damage worsens, you may begin losing your vision. Your eyesight may become blurry, less intense, and begin to disappear. This condition can affect people with type 1 or type 2 diabetes. The longer you live with diabetes, the more likely you are to develop complications like diabetic retinopathy. This is why adopting lifestyle changes and learning to manage diabetes is so important. In its earliest stages, diabetic retinopathy may cause no symptoms. The initial symptoms may be barely noticeable or mild. Over time, the condition can worsen and lead to partial and then complete blindness. You should see your doctor if you experience any of these symptoms: floaters, or dots and dark strings, in your field of vision dark or empty areas in your field of vision blurry vision difficulty focusing vision changes that seem to fluctuate altered color vision partial or total vision loss Diabetic retinopathy most often affects both eyes at the same time and in equal measure. If you’re experiencing issues with only one eye, it doesn’t mean you don’t have diabetic retinopathy. However, it might indicate another eye issue. Make an appointment to see your doctor to find an appropriate treatment plan. The buildup of excess sugar in your blood can lead to a number of health issues. In your eyes, too much glucose can damage the tiny ves Continue reading >>

Diabetic Eye Exam

Diabetic Eye Exam

Annual Dilated Eye Exam for People with Diabetes Make sure you get a dilated eye exam every year. This medical test is in addition to your vision benefit. CDPHP covers dilated eye exams yearly and asordered by your doctor for people with diabetes. Get the Facts! Read Diabetic Eye Care: Fact or Fiction? People with Type I or Type II diabetes are more at risk for vision changes and diabetic retinopathy , a leading cause of vision loss and blindness. Early detection, even before symptoms develop, improves your chance of controlling eye disease or blindness. Make sure you get a full dilated eye exam at least once a year, even if your blood sugar is under control and in normal range. This test is covered under your medical benefit and is in addition to your vision benefit. Your eye doctor will use special eye drops to enlarge your pupils, allowing him or her to see the back of your eyes. These drops and the eye exam are painless, but your vision will be blurred and your eyes will be sensitive to bright light for a few hours after the exam. You may need someone to drive you home. Do I have diabetic retinopathy? If so, what stage? Is there anything I can do to lower my risk of developing retinopathy or slow its progress? Do my blood sugar, blood pressure, and cholesterol numbers meet the levels recommended to lower my risk for eye disease? When should I return for another eye exam? Keep Your Medical History and Health Care Team Up to Date After your eye exam, complete the Eye Care Tracking Form and either give it to your primary care physician or have your eye doctor fax it to your physician's office. Get the latest health news in your inbox. Sign up for our newsletter! Continue reading >>

7 Health Problems Eye Exams Can Detect

7 Health Problems Eye Exams Can Detect

Did you know that an eye exam can be as effective as a physical in determining your health? Unfortunately, many Americans put off going to the eye doctor if they feel like their vision has not changed. Comprehensive eye exams are important for many reasons. Your eyesight may change very gradually over time, and you may not even know that you need a stronger prescription. Your eye doctor will also perform several tests during the eye examination that will rule out eye disorders such as glaucoma, cataracts or retinal problems. Along with eye-related concerns, eye doctors may even be able to detect other health issues during a comprehensive eye exam. In fact, you may even find yourself leaving the eye doctor with a referral to another specialist because of a specific test that your ophthalmologist performed during your comprehensive eye exam. Here are just a few health issues that may be discovered during an eye exam: Diabetes— Diabetes affects the small capillaries in the retina of the eyes. These blood vessels may leak blood or a yellowish fluid, and this may be discovered in an eye exam. If your eye doctor notices this condition, you may have a condition called diabetic retinopathy. Hypertension— Blood vessels in the eye may exhibit bends, kinks or tears, and this may be an indication of high blood pressure. Autoimmune disorders— If the eye is inflamed, this may be a sign of Lupus or another autoimmune disorder. High cholesterol— The cornea may have a yellowish appearance or a yellow ring around it which can be a sign of high cholesterol. There also may be plaques in the blood vessels of the retina which could indicate elevated cholesterol. Thyroid disease— One of the telltale signs of thyroid disease are bulging eyes or protruding eyeballs. This condition is Continue reading >>

Diabetes Eye Exams

Diabetes Eye Exams

Diabetes can harm your eyes. It can damage the small blood vessels in your retina, or the back of your eye. This condition is called diabetic retinopathy. Diabetes also increases your risk of glaucoma and other eye problems. You may not know your eyes are harmed until the problem is very bad. Your doctor can catch problems early if you get regular eye exams. This is very important. The early stages of diabetic retinopathy don't cause changes in vision and you won't have symptoms. Only an eye exam can detect the problem, so that steps can be taken to prevent the retinopathy from getting worse. Even if the doctor who takes care of your diabetes checks your eyes, you need an eye exam every 1 to 2 years by an eye doctor who takes care of people with diabetes. An eye doctor has equipment that can check the back of your eye much better than your regular doctor can. If you have eye problems because of diabetes, you will probably see your eye doctor more often. You may need special treatment to prevent your eye problems from getting worse. You may see two different types of eye doctors: An ophthalmologist is a medical doctor who is an eye specialist trained to diagnose and treat eye problems. An optometrist is a health care provider trained to diagnose and treat problems with your vision. Many can do screening exams for damage from diabetes. Once you have eye disease caused by diabetes, you need to see an ophthalmologist. The doctor will check your vision using a chart of random letters of different sizes. This is called the Snellen chart. You will then be given eye drops to widen (dilate) the pupils of your eyes so that the doctor can better see the back of the eye. You may feel stinging when the drops are first placed. You may have a metallic taste in your mouth. To see the b Continue reading >>

What To Expect At Your Eye Exam

What To Expect At Your Eye Exam

If you are lucky enough to have good eyesight, you may be surprised when your diabetes care team recommends that you make an appointment with an eye doctor. If your vision is stable, and your eyes don’t bother you, why should you have your eyes checked? The answer is that many potentially devastating eye problems develop without causing discomfort or distorting vision. Glaucoma and cataract are examples of eye problems that occur commonly in older adults and more frequently in people with diabetes. Generally, these conditions are treatable, but if not caught early enough, they can lead to vision loss or even blindness. In addition, there’s diabetic retinopathy, a serious complication that is more likely to occur in people with Type 1 diabetes but may develop in anyone with diabetes. Tight blood glucose control can significantly reduce the incidence and severity of diabetic retinopathy, but the only way to identify this and other eye problems in their earliest and most treatable stages is to have regular, comprehensive eye examinations. -- Keep an eye on your vision! Learn about preventive steps and treatments for diabetic retinopathy from retinal specialist Dr. Charles Wykoff. >> There’s no reason to avoid an eye exam; it involves a series of painless tests that check your visual acuity and general eye health and screen for signs of disease. Before we discuss what to expect at the exam, let’s take a look at the eye and how it works. The eye The eye is a hollow organ about the size of a Ping-Pong ball, with an opening at the front that lets in light, and a gelatinous substance called vitreous filling most of the inside. It functions in a manner similar to a camera. The aperture through which light enters the eye is the pupil, the black-seeming hole in the middle Continue reading >>

Diabetic Eye Exam Nyc Eye Doctor Midtown Manhattan Nyc

Diabetic Eye Exam Nyc Eye Doctor Midtown Manhattan Nyc

Diabetic Eye Exam NYC Eye Doctor Midtown Manhattan NYC DISCLAIMER: PLEASE READ CAREFULLY ON BOTTOM OF THE PAGE One of the worst and most common side effects of diabetes is vision loss. The disease attacks the small blood vessels in the back of your eyes, called the retinas. When your retina becomes damaged, its called diabetic retinopathy . Its absolutely vital that you get yearly diabetic eye exams when you have diabetes. When you have this blood sugar disorder, youre also at a greater risk of developing glaucoma . Too often, you wont even notice the damage until its too late, which is why you must begin to get annual eye checkups as soon as you receive a diabetes diagnosis. As difficult as life can be with diabetes, its even more difficult if youre also blind. While you do have a higher risk of going blind if you have diabetes, its not certain. Most diabetes sufferers, in fact, merely develop minor vision disorders, especially when problems are discovered early and you manage your diabetes well. Youre about 40 percent more likely to develop glaucoma than someone who doesnt have diabetes. And the older you get, the higher your risk increases. Youre also at a 60 percent higher risk of developing cataracts . Diabetic retinopathy is the umbrella term for all diabetes-related eye disease. The primary reason they occur is because high blood sugar levels affect your retina by creating tiny aneurysms that eventually leak blood. New blood vessels grow to replace the damaged ones, but they too weaken and leak. Its these hemorrhages that cause permanent damage to your retina and lead to blindness. Diabetes also can damage the cranial nerves that control eye movement, which can lead to double vision and other eye disorders. People with diabetes also are at a higher risk of devel Continue reading >>

Facts About Diabetic Eye Disease

Facts About Diabetic Eye Disease

Points to Remember Diabetic eye disease comprises a group of eye conditions that affect people with diabetes. These conditions include diabetic retinopathy, diabetic macular edema (DME), cataract, and glaucoma. All forms of diabetic eye disease have the potential to cause severe vision loss and blindness. Diabetic retinopathy involves changes to retinal blood vessels that can cause them to bleed or leak fluid, distorting vision. Diabetic retinopathy is the most common cause of vision loss among people with diabetes and a leading cause of blindness among working-age adults. DME is a consequence of diabetic retinopathy that causes swelling in the area of the retina called the macula. Controlling diabetes—by taking medications as prescribed, staying physically active, and maintaining a healthy diet—can prevent or delay vision loss. Because diabetic retinopathy often goes unnoticed until vision loss occurs, people with diabetes should get a comprehensive dilated eye exam at least once a year. Early detection, timely treatment, and appropriate follow-up care of diabetic eye disease can protect against vision loss. Diabetic retinopathy can be treated with several therapies, used alone or in combination. NEI supports research to develop new therapies for diabetic retinopathy, and to compare the effectiveness of existing therapies for different patient groups. What is diabetic eye disease? Diabetic eye disease can affect many parts of the eye, including the retina, macula, lens and the optic nerve. Diabetic eye disease is a group of eye conditions that can affect people with diabetes. Diabetic retinopathy affects blood vessels in the light-sensitive tissue called the retina that lines the back of the eye. It is the most common cause of vision loss among people with diabetes Continue reading >>

Annual Eye Exams Can Detect Diabetic Eye Disease

Annual Eye Exams Can Detect Diabetic Eye Disease

Having an eye exam each year is important for people with diabetes. Diabetes that is not well managed can lead to diabetic retinopathy and other eye-related problems. An annual eye exam can help detect diabetic eye diseases so they can be treated early. A description of diabetes Diabetes causes people to have too much sugar in their blood. This happens when people aren’t producing insulin in their bodies (Type 1) or when the body is resistant to insulin (Type 2). Insulin is a hormone that helps reduce sugar (also called glucose) in the blood stream. Too much glucose can lead to serious health issues, affecting the heart, kidneys and eyes. Diabetic eye diseases Diabetic retinopathy is a serious concern for people with diabetes and the number-one cause of vision loss. If a person’s blood sugar level is not in control and remains chronically high, blood vessels in the eye can be damaged and impair vision, potentially resulting in blindness. Another concern is diabetic macular edema, which can occur when high blood sugar causes fluid to seep into the retina. Get annual eye exams Doctors recommend that adults with diabetes get an annual dilated eye exam to check for micro-vascular issues that affect people with diabetes. The eye doctor checks the retina (back of the eye) for signs of retinopathy, as well as the macula (center of the retina) for diabetic macular edema. At an annual eye exam, the eye doctor will: Dilate your eyes to look at the retinas See if you need corrective lenses Check your eye pressure for signs of glaucoma Identify other concerns unrelated to diabetes, such as cataracts and dry eye Manage your diabetes To stay healthy, it is important to: Test your blood sugar regularly Take the medicines prescribed by your doctor to help manage your blood sugar Ea Continue reading >>

Diabetic Eye Exam Vs Routine Exam

Diabetic Eye Exam Vs Routine Exam

You should be clear on each one of these in addition to your specific eye details during the time of visit with the eye doctor. A diabetic eye exam often starts with an analysis of the external parts of the eyes, such as the cornea, the eyelids, the sclera, and so forth. From that point, the examination moves into a test of the eye's strength and ability to focus on both near and far objects such a test is referred to as a "visual acuity test." Up next is a "pupil function test" this test will determine the overall health of the pupil and detect any physical or neurological damage. After this, an "ocular motility test" (test to determine the eye's ability to follow fast-moving objects) will be carried out. This test is often employed when patients complain of double vision. There are other tests, such as the "visual field test," among others, that may be carried out on your eyes. The final eye exam will involve shining a bright light directly into your eye. This light is meant to illuminate your retina while the doctor uses a magnifying lens to look into your dilated pupils in order to examine the retinal surface. The doctor will hold your eye open with a device and press a lens against your eye to flatten the cornea while lasers are directed at the blood vessels. 2. Maintain a Healthy And Appropriate Weight If you're overweight, it's time to start shedding pounds. Performing regular exercises and changing your diet are still the best ways to achieve this. Fruits and vegetables are fully equipped with vitamins and nutrients that are required for maintaining good eye health. You could start by incorporating lots of fruits and vegetables into your daily diet. Fruits and vegetables are also rich in antioxidants, which can help avert damage to your eyes' lenses. Closing yo Continue reading >>

Diabetes: Eye Exams

Diabetes: Eye Exams

www.CardioSmart.org A dilated eye exam lets your eye doctor see the back of your eye. This test can detect eye problems like diabetic retinopathy. Before the test, your eye doctor will use eyedrops to widen, or dilate, your pupils. This makes it easier for the doctor to see into your eye. The eyedrops take about 15 to 20 minutes to fully dilate your pupil. Your doctor may also use eyedrops to numb your eyes. Who should get a dilated retinal exam? Everyone with diabetes should have regular dilated retinal exams. Diabetes can lead to eye problems that cause vision loss or blindness. The longer you have diabetes, the more likely you will have eye problems. By the time you notice any vision problems, your eyes may already be seriously damaged. A thorough exam can help detect symptoms early. Early treatment may help protect your vision. People with diabetes are also at a higher risk for glaucoma. This is increased pressure inside the eye, which can cause blindness. An eye exam can check for this condition along with diabetic retinopathy. How often should you be tested? If you have diabetes, get tested every year, or more often if your doctor says to. If your eye exam results are normal, your doctor may consider follow-up exams every 2 years instead of every year. But if you are diagnosed with diabetic retinopathy, youmay need frequent eye exams. Who performs a dilated retinal exam? This test can be done by: • An ophthalmologist. Ophthalmologists are medical doctors who diagnose and treat eye problems, diseases, and injuries. • A licensed optometrist. Optometrists are health professionals who diagnose and treat vision problems and eye diseases. They also do routine vision testing and prescribe eyeglasses and contact lenses. An optometrist is not a medical doctor, Continue reading >>

Diabetic Retinopathy - Exams And Tests

Diabetic Retinopathy - Exams And Tests

Diabetic retinopathy can be detected during a dilated eye exam by an ophthalmologist or optometrist. An exam by your primary doctor, during which your eyes are not dilated, is not an adequate substitute for a full exam done by an ophthalmologist. Eye exams for people with diabetes can include: Visual acuity testing. Visual acuity testing measures the eye's ability to focus and to see details at near and far distances. It can help detect vision loss and other problems. Ophthalmoscopy and slit lamp exam. These tests allow your doctor to see the back of the eye and other structures within the eye. They may be used to detect clouding of the lens (cataract), changes in the retina, and other problems. Gonioscopy. Gonioscopy is used to find out whether the area where fluid drains out of your eye (called the drainage angle) is open or closed. This test is done if your doctor thinks you may have glaucoma, a group of eye diseases that can cause blindness by damaging the optic nerve. Tonometry. This test measures the pressure inside the eye, which is called intraocular pressure (IOP). It is used to help detect glaucoma. Diabetes can increase your risk of glaucoma. Your doctor may also do a test called an optical coherence tomography (OCT) to check for fluid in your retina. Sometimes a fluorescein angiogram is done to check for and locate leaking blood vessels in the retina, especially if you have symptoms, such as blurred or distorted vision, that suggest damage to or swelling of the retina. Fundus photography can track changes in the eye over time in people who have diabetic retinopathy and especially in those who have been treated for it. Fundus photography produces accurate pictures of the back of the eye (the fundus). An eye doctor can compare photographs taken at different ti Continue reading >>

Annual Eye Exam

Annual Eye Exam

~ Deborah K. Schlossman, M.D. Diabetes is the leading cause of preventable new onset blindness in working-age adults. Anyone with type 1 or type 2 diabetes can have diabetic eye disease and not know it, as it is painless and often has no symptoms until very advanced stages. But with appropriate care you can reduce the risk of blindness and increase your chances of preserving sight. Joslin Diabetes Center has been on the cutting edge of diabetes-related eye disease prevention since its inception and has set standards across the world for the treatment and care of eyes. At Joslin we have developed clinical guidelines that recommend you take a three-pronged approach to preserving your vision: 1.Maintain excellent A1C and blood glucose levels. 2.Keep your blood pressure and other health factors, such as your cholesterol, in check. 3.Make sure you get your eyes checked annually through a dilated eye exam (an exam in which the doctor places drops in your eyes) or specially validated photographs of your retinas (the inside of the eyes). Eye exams for people with diabetes are very thorough and may take up to 2½ hours. Part of the exam includes applying drops to dilate your pupils, so the doctor can have a good look at what is happening at the back of your eye called the retina. No portions of the exam are painful, but when you have your pupils dilated you should be prepared to wear sunglasses after the appointment as you’ll be sensitive to light. Diabetic retinopathy is the most common eye disease for people with diabetes. It occurs when the small blood vessels in the eye are damaged by high levels of glucose in the blood. Although there are a variety of treatments to treat diabetic retinopathy, the earlier it is diagnosed the more effective the treatment. Although diabetes Continue reading >>

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