Diabetes is a leading cause of blindness, with 50% of diabetics developing eye diseases. Diabetics have a 25 times higher risk of blindness and twice the risk of glaucoma and cataract compared to non-diabetics. Routine eye exams are important, with annual exams recommended for diabetics and exams every two years for non-diabetics over age 40. The three main causes of vision loss in diabetics are cataract, glaucoma, and diabetic retinopathy. Early detection and treatment can help prevent permanent vision loss and blindness through methods like laser therapy. Strict control of diabetes and follow up care are vital to preserving vision.

1. Diabetes and the Eye
Dr. Devin Prabhakar
MS, DNB, DO, FRCS

2. Eye Diseases in DM
 50% diabetics have eye diseases
 Diabetics have 25 times more chance for
blindness
 2 times more chance for glaucoma and
cataract

3. Routine eye check up
 Diabetics - Once a year
 Non diabetics > 40 years - Once in 2 years

4. Incidence of Diabetes Eye
diseases
 Diabetic control
 The number of years patient was
diabetic

5. External eye diseases
 Stye
 Chalazion
 Blepharitis
 Recurrent stye

6. Section of a Normal Eye

7. Causes of defective vision in
Diabetics
 Cataract
 Glaucoma
 Diabetic retinopathy

8. Cataract
Retinopathy Glaucoma

9. Cataract
• Early stages maybe reversible.
• Can develop in a few days

10. Management of Cataract – Old and New

11. Small Incision Cataract Surgery Phacoemulsification
Intraocular Lens Implantation

12. DM control before cataract
surgery
 RBS <200
 No active infections
 Life long control of Diabetes is vital

13. Cataract surgery – 90 years or 9 years!!

14. Glaucoma
 Pressure more than the eye can
tolerate.
 Causes permanent damage
 Visual field testing

15. An example for Glaucoma Field Loss

16. Early Detection of Glaucoma
is vital
 Dilated Fundus Evaluation
 Applanation Tonometry
 Pachymetry
 Perimetry

17. Glaucoma : Thief of Sight
 Silent thief of sight
 Permanent loss
 Preventable blindness

18. Management of Glaucoma
 Medical
 Surgical
 Laser

19. Glaucoma
BEWARE and BE AWARE

20. Diabetic Retinopathy

21. Diabetic Retinopathy

22. Normal Fundus Appearance

23. Advanced Diabetic Retinopathy

24. Treatment of retinopathy
 Not all cases require treatment
 Laser treatment

25. What next …..
 With good DM control 30% of
retinopathy stabilizes or improves
 Good treatment is now available at an
affordable price
 Update yourself or latest medications
and followup regimen.

26. Laser Therapy

27. To summarise…
 50% of Diabetics have DED
 DED has no symptoms in early stages
 Aim of treatment is vision preservation
 Early detection and treatment can prevent
permanent blindness

28. For more information
 Facebook.com/DevinPrabhakar
 www.DivyaPrabha.in

29. Divya Prabha Eye Hospital
“Check yearly to see clearly”
Divya Prabha Eye Hospital
 2442050
Thank you