Abstract
Diabetic retinopathy is the most common systemic disease capable of leading to blindness. Laser treatment of diabetic retinopathy is standardized; in most cases it can prevent blindness, provided the diagnosis is made in good time. Since impairment of vision is a late complication, systemic screening examinations are of particular importance if we are to reliably determine the optimal time for treatment. Advances in vitreoretinal surgery make possible the treatment of such late manifestations as vitreous hemorrhage and tractive retinal detachment. Provided that stage-oriented and timely treatment is forthcoming, these formerly hopeless cases should become a rare exception. The currently sole confirmed medical treatment is optimal control blood sugar - based on the HBA(1c) value - and of blood pressure. The clinical efficacy of inhibitors of angiotensin converting enzyme or proteinkinase C is presently undergoing investigation.
Translated title of the contribution | Diabetic retinopathy - Screening is mandatory. Early diagnosis and treatment can prevent blindness |
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Original language | German |
Pages (from-to) | 26-29 |
Number of pages | 4 |
Journal | MMW-Fortschritte der Medizin |
Volume | 142 |
Issue number | 13 |
State | Published - 30 Mar 2000 |
Externally published | Yes |