Diabetic Eye Disease

Non-eyecare practitioners will be screening your patients for diabetic retinopathy. Find out why this can help or hurt your patients and how you can help guide the process.

More than 9 percent of U.S. adults have diabetes, and those patients are sitting in your chair. Find out how diabetes affects your patients’ vision.

Patients with diabetes may need to add a dry eye workup to their health assessments. Scott Schwartz, OD, from Detroit, MI, discusses his poster, “Does diabetes make a difference in dry eye,” at ARVO 2018 in Honolulu.

ODs may wish to incorporate color vision testing when working with patients having diabetes. A. Paul Chous, MA, OD, FAAO, CDE, talks about the importance of these tests, incorporating them into day-to-day exams, and devices available.

Diagnosing and treating diabetic macular edema (DME) can pose a challenge for ODs. A. Paul Chous, OD, MA, FAAO, CDE, examines a case of non-center involved DME and the challenges he faced when treating one patient.

It is important for eyecare providers to be familiar with these new drugs and findings. We often see patients with diabetes, metabolic syndrome, and high CV risk, and we are in a position to help counsel our patients about new treatments-and even suggest that appropriate patients have conversations with their primary-care physicians, endocrinologists and cardiologists.

A 30-year-old female with a 16-year history of insulin-dependent diabetes and no other ocular or systemic conditions developed proliferative retinopathy in March 2015. She had not been closely followed for the previous five years.

Recognize characteristics and stages of macular hole for better pictures

Diabetic retinopathy (DR) in patients is a common finding in optometric practices. When we grade the level of retinopathy, we often do so with findings of the Early Treatment Diabetic Retinopathy Study (ETDRS)in mind.

Let’s examine case-based examples to emphasize the top five neuro-ophthalmic disorders that should not be overlooked.

A colleague recently told me that eye doctors should “stay within the lines” of traditional eye care because we barely have enough time as it is to do our jobs. My response was that today more than half of our adult patients have either diabetes or prediabetes, so our job now requires we go ”outside the lines” to avoid the leading cause of preventable blindness.

Given this abundance of nonhuman species living on and within our bodies, it is not surprising that there is a link between specific bacteria to systemic and ocular disease-including diabetes and diabetes-related eye disease.

OCT is one of the best way to assess patients for the presence of diabetic macular edema (DME)

At this moment, optometric leaders are seemingly wedged between fighting against online refractions and spectacles and fighting for “follow the money/ophthalmologic care.”

Fasting regimens have gained popularity as a technique for reducing weight and obesity. This strategy may improve insulin sensitivity in patients with insulin resistance and diabetes.

Before the new year gets too far along, let’s take a brief look at the happenings in the pages of Optometry Times during 2016.

Effectively manage patients through diagnosis and interpretation

A 37-year-old male came to my office for the first time in 2014 for a diabetes eye examination at the insistence of his primary-care provider (PCP).

Eyecare practitioners who deal with patients in the perioperative period are well aware of the need for topical therapy. In most cases, a combination of a steroid, a nonsteroidal anti-inflammatory drug (NSAID), and an antibiotic will be used for a few days before the day of surgery and then for a period afterward.

We had better wake up fast to address this multifactorial problem.