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All Posts Tagged Tag: ‘diabetes’
I had a lady in for an eye test today, complaining that her “glasses are not as good as they used to be”, a fairly common complaint. But nobody ever thinks that their eyes are not as good as they used to be- they always blame the spectacles.
This lady is a Type II diabetic, and ONCE has an issue when she felt unwell after being dilated with eye drops for retinal photography, so she has never had it done since!!
That was before 2009, though we are unsure when she may have had the issue. It was before we ever first saw her. I have since dilated her – in 2010, and she has no complaints about that, no recollection actually, but she is still of the opinion that the dilating drops “do not agree with her”, so she has not attended any of the National Diabetic Retinopathy Screening (NDRS) appointments that she has been asked (or invited??) to attend. She freely admits that, at the time she had a “touch” of vertigo, which may have been a contributory issue. There are ways to ensure that the drops have little, if any effect on the body as a whole (side effects) – basically by squeezing on the punctae- little holes where the tears drain from in the eyelids near the nose – if we “occlude” those, there will be little or no drug getting into the bloodstream only the eyes!
She was supposed to return to us in 2011 to have a dilated fundus exam, but she collected the spectacles, and confirmed she would make a convenient appointment, but despite reminders, she never did. We can only advise you to have checks, but no-one can make you! Now nearly 5 years later she is back, once again with complaints that her spectacles are not as good as they used to be.
Diabetic Eye disease is the most common cause of BLINDNESS in the developed world, and therefore should not be ignored (It won’t happen to me) – but it might. This lady has very small pupils, which significantly hampers the view into her eyes, but even if the view was not hindered, dilated fundus examination is important to visualise as much of the retina (the light sensitive layer at the back of the eye) as possible. Her GP and the National Diabetic Retinopathy Screening Service seem either unconcerned, or may be unaware of her non attendance.
Come ON folks – if the offer of free screening is available, you should take them up on it – (they are not doing it to be nice to the you) – they are doing it because early detection and treatment SAVES MONEY! – Blindness costs the state an awful lot of money!
Personally, I would not really care how much the NDRS costs the HSE / government each year, nor how much money it might save the state – if it stopped ME from going blind, the entire screening program would have been money well spent! In my opinion.
But no-one can force you to have the required checks, though, this time she will not be getting her spectacles until she has been dilated and thoroughly examined!
Unfortunately, sometimes it is the only way – but she may never return to collect the spectacles…. You can lead a horse to water…….
Update: She was in, to collect her new spectacles, and dilated, and there were no signs of any significant diabetic changes to her retinae, but 5 years is a long time – Diabetics should have their eyes checked somewhere on at least an annual basis.
According to research, over three quarters (75 per cent) of people with diabetes in Ireland have not heard of the condition diabetic macular oedema (DMe also known as DMO, because Americans spell Oedema as Edema). DMe is the most common form of diabetic retinopathy DR, which is the biggest cause of blindness in working-age Irish adults.
According to the National Council for the Blind in Ireland, NCBI and Diabetes Action, DR causes, on average, one person with diabetes to go blind each week in Ireland.Research conducted amongst members of Diabetes Ireland showed that risk to eye sight is clearly the health complication that people with diabetes are most concerned about 42 per cent, followed by heart conditions 26 per cent and kidney damage 26 per cent.
Despite this concern, however, over a quarter of people with diabetes are not getting their recommended annual full eye examination. A number of patient organisations have come together to launch a new campaign to highlight the eyesight risks associated with diabetes, the importance of eye screening and the treatments that are available should anyone with diabetes develop diabetic retinopathy.
Diabetes Ireland, Association of Optometrists Ireland, the Irish College of Ophthalmologists, and Fighting Blindness, with the support of Novartis, hosted a public information evening entitled ‘VisualEYES the Risks: Managing your diabetes and diabetic retinopathy, Thursday May 31 at the O’Callaghan Alexander Hotel, Dublin.
Mr Kieran O’Leary, CEO of Diabetes Ireland, said: “The number of people with diabetes in Ireland is growing rapidly and at present there are an estimated 210,000 people with the condition and approximately 30,000 of these undiagnosed. In some cases diabetes can lead to vision impairment and even vision loss. The most effective way to prevent vision loss as a result of diabetes is to control your diabetes properly. This includes being sure to attend all your healthcare appointments and to have a full eye examination on an annual basis.”
According to Mr Mark Cahill, consultant ophthalmologist at the Royal Victoria Eye and Ear Hospital, Dublin: “The main issue with diabetic retinopathy is that in the early stages, there are no symptoms of the condition and there is no pain experienced. This means that anyone with diabetes should make sure to have a full eye exam, on an annual basis, so that any signs of diabetic retinopathy can be detected as early as possible. By far the most common form of diabetic retinopathy which may damage your vision is DMO. This accounts for eight out of ten cases of diabetic retinopathy. There are very effective treatments available for diabetic Retinopathy, including DMO, in the form of injections and laser. These treatments can slow progression and even restore lost vision; however, early diagnosis is crucial to maximise their effectiveness.”
Ms Loretto Callaghan, Managing Director of Novartis Ireland, said: “In addition to supporting clinical trials in ophthalmology in Ireland, Novartis is delighted to support this campaign to help raise awareness of sight-threatening conditions such as diabetic retinopathy and DMO, and to help patients in Ireland get access to innovative treatments for their condition.” For more information visit www.diabetes.ie