I have always been deeply interested in the relationship between diabetes and blindness because one of my uncles currently has diabetes. His eyesight is becoming worse and worse due to its complications. Because we spent so much time on vision, I thought it was appropriate to do some research on the blindness caused by the complications of diabetes. There are various types of diabetic eye diseases: diabetic retinopathy, cataract, and glaucoma. Diabetic retinopathy involves damage to the blood vessels in the retina. Cataract, which occurs at an earlier age for people with diabetes, occurs when the eye’s lens clouds. Glaucoma occurs when the optic nerve is damaged due to the increase in fluid pressure inside the eye. It eventually leads to loss of vision. People with diabetes are twice more likely to get it. It has been known that “diabetic retinopathy is the most common complication of diabetes and a leading cause of blindness among working-age adults.” My uncle has diabetic retinopathy and every now and then, blood vessels of his eyes break. There are four stages of diabetic retinopathy. First stage is called mild nonproliferative retinopathy. The blood vessels begin to swell. As the disease gets worse, it moves into the second stage, moderate nonproliferative retinopathy. Some of the vessels that provide nutrients to the retina are getting blocked. As the disease gets even worse, the third stage called severe nonproliferative retnopathy kicks in. More blood vessels are blocked thereby not being able to provide enough nutrients to certain parts of retina. In order to provide sufficient nutrients, the eye builds new blood vessels that are very fragile. These vessels can easily break and leak blood within the eye. This leakage of blood would result in a possible vision loss. This last stage is claeed prliferative retinopathy. I think my uncles’ diabetic retinopathy is moving slowly into the proliferative retinopathy. It is extremely devastating for people like my uncle because they can no longer drive. Because my uncle had a good vision before, it is harder for him to adjust to it. He lost his job because he could not see clearly. Most importantly, he has trouble going to work by himself. He has received numerous laser treatments. I was able to learn how it was done from him. Many laser burns are placed away from the macula of your eye. They result in loss of some of the peripheral vision; however, they can save the eye from becoming completely blind. The cause of the damage to the vision occurs, when the blood vessel breaks and leak blood. Then, the vision becomes very blurry. As you can see in the picture, black spots develop on top of the blurry vision. Another way that retinopathy could cause vision loss is by leakage of fluid into the center of the macula. It is called macular edma and people with this condition lose acuity. The laser surgeries did not work well for my uncle because his blood vessels already have leakage. They do not cure proliferative retnopathy. As a result, my uncle will eventually lose his eyesight. I believe that diabetes retinopathy should receive more attention as it affects so many people.
http://www.nei.nih.gov/health/diabetic/retinopathy.asp
http://www.springerlink.com/content/43250105433377l2/fulltext.pdf







