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Modern Ophthalmic Center

Modern Ophthalmic Center is considered the first dedicated center for eye diseases and surgeries in Egypt and the Middle East. Since its foundation in 1992, the center offers the best service possible, according to the most recent modalities.
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What is diabetes?
Diabetes is a disease that makes the human body unable to use or store glucose in the blood. Main symptoms include feeling thirsty all the time and increased urination. Diabetes also affects blood vessels throughout the body, especially in the eye.

How does it affect the eye?
It causes cataract, glaucoma, and affects the retina which could lead to loss of vision; up to 12% yearly due to its complications that differ according to the duration of the disease.

How does a patient feel diabetic changes in the eye?
The person starts to feel a change in his vision from low to good according to his blood sugar as it affects the human lens in his eye. Patient also feels a progressive deterioration in vision over the next months due to exudation and hemorrhages in the retina or appearance of abnormal vessels that could lead to vitreous hemorrhage and retinal detachment at some point. Also it can cause glaucoma and it could end up in losing vision altogether.

How to treat it?
First: a normal blood sugar should be maintained, and treatment from other conditions is advised such as hypertension, obesity and smoking as they are factors in increasing complications in the eye.
Second: patients should be aware that diabetes can affect the eye without having complaints, hence the necessity of regular eye examination to detect early changes and prevent complications.
Third: when retinal changes are detected, patient will need an evaluation of the retinal condition using fluorescein angiography plus or minus optical coherence tomography (OCT). Fluorescein is a dye that is injected in a vein and is depicts the retinal circulation using a special camera. The dye doesn’t cause any damage to the body. OCT is used to analyze the retinal layers and identify problems in each.
Fourth: according to the results of previous exams, the ophthalmologist decides what to do next, whether just regular follow up in case of mild changes, or laser treatment to the retina if there is leakage or abnormal vessels, or evern surgical intervention in cases like vitreous hemorrhage or retinal detachment.

Laser treatment:
Laser treatment is the main and most important treatment for diabetic changes in the retina especially in advanced cases as it diminishes factors for loosing vision and tries to prevent further complications. Laser does not cause damages as it is widely thought. On the contrary; delay or failure to do laser treatment can cause deterioration in vision. Patient should be reminded that treatment with laser does not improve vision but to maintain it and prevent further decrease.

Patient may need repeated laser treatment according to the retinal condition and in some cases, although laser treatment is used, the intensity of the condition increases due to the diabetes itself as it is a progressive condition, not due to laser treatment.

Surgical intervention:

The ophthalmologist can go for surgical treatment in advanced cases such as in vitreous hemorrhage or in retinal detachment. The success of the operation depends upon how badly the retina is affected.

In the end:
Proper diagnosis and early treatment can prevent the diabetic patient from going blind, that’s why regular examinations are necessary, knowing that treatment in the early phases can prevent further complications while treatment in advanced cases aims at stabilizing the condition or retard diminution of vision as long as possible.

Why the ophthalmologist?
The ophthalmologist is the only person who is able to provide proper care for your eye, medically and surgically.
It’s your sight, and your eyes deserve the best care from you.
 
 
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