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Key messages for patients
DID YOU KNOW THAT DIABETES AFFECTS THE EYES? What can you do to prevent blindness? Diabetes mellitus is marked by high sugar levels in the blood. High blood sugar destroys small blood vessels in the body including those at the back of the eyes, leading to a condition called diabetic retinopathy.
1 The damage to the eyes needs to be detected early, before permanent damage occurs.
3 For prevention and treatment of diabetic retinopathy, the eye specialist may advise on sugar, blood pressure, and lipid control.
5 All persons with diabetes should have their eyes checked once every year by an eye specialist, even before any symptoms or poor vision develops or as recommended by the doctor.
Damage to the eyes is slow, painless, gets worse with time and finally leads to blindness if not detected and treated in good time.
2 An eye check by an eye specialist can detect damage to the eyes before symptoms develop. During the examination, the eye specialist will check vision, and instil eye drops in order to assess the damage in the back of the eye. Both eyes need to be examined.
4 For treatment of diabetic retinopathy, the eye specialist may perform laser or eye surgery and may administer injections in the eye.
6 A child with diabetes should have their eyes checked annually from the age of 12 years, or more frequently if recommended by the eye specialist.
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A pregnant mother with diabetes should undergo an eye check by an eye specialist at least once every trimester, and soon after delivery, or as frequently as recommended by the eye specialist.
If the eyes are found to be normal at your eye check by an eye specialist, please continue with an eye check annually. If you notice any abnormality with your eyes, visit the eye specialist as soon as possible.
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Key messages for health workers attending to PLWD
1 in 3 patients with diabetes has diabetic retinopathy. Act to save their vision today!
1
Send all newly diagnosed diabetes patients for a baseline retinal examination.
2
Ensure all patients with diabetes have an annual retinal examination.
3
Refer any patient with diabetes who has poor vision to an eye specialist urgently.
4
Do not wait for visual loss to occur to refer patients with diabetes to an eye specialist‘prevention is better than cure.’
5
Glycated hemoglobin (HbA1c) is a good indicator for long-term glucose control and should be done at least annually for all patients. Good glycemic control delays the onset and retards progression of diabetic retinopathy.
6
Conduct annual assessment for evidence of other end organ damage by performing oral examination, diabetic foot review, renal and cardiac function tests, and tests for neuropathy.
7
Assess for hypertension, hyperlipidemia and other co-morbidities as these impact negatively on diabetes and diabetic retinopathy.
8
Send all pregnant patients with diabetes for a retinal examination at each trimester and post-delivery, or more frequently if recommended by the eye specialist.
