Treating subconjunctival hemorrhage for diabetics
Treating subconjunctival hemorrhage for diabetics
Intraocular hemorrhage occurs as a result of many reasons, the most prominent of which is diabetes. It causes damage to the retinal blood vessels in the back of the eye; in some cases, the symptoms are minor. In other cases, this leads to intraocular hemorrhage. The matter may arrive for eye loss; eye hemorrhage may affect patients with type 1 diabetes that occurs as a result of attacking the immune system of insulin-making cells inside the pancreas. It often occurs at an early stage of life, as well as eye hemorrhage can also affect patients with type 2 diabetes, which occurs as a result of various factors; Such as genetic factors, malnutrition, or obesity, and often affects this age group over forty.
What is the nature of subconjunctival hemorrhage?
The conjunctiva is the transparent surface of the eye. In the event of a breakage of a blood vessel beneath that surface, this leads to bleeding. People with this disease notice that the eyes are pigmented in light red, unlike the natural white color.
Mostly, subconjunctival hemorrhage occurs without complications, does not require treatment, and this disappears within two weeks.
What are the symptoms of subconjunctival hemorrhage?
Red spots appear on the white part of the eye, which is the main symptom of subconjunctival hemorrhage, and this doesn’t lead to any defects in vision or tears secretion, and this may be accompanied by an annoying sign, which is the feeling of itching in the affected eye.
What are the causes of subconjunctival hemorrhage?
Various causes can lead to subconjunctival hemorrhage, including:
Do double action.
The use of anticoagulants.
Vein pressure increased.
The eye area collides with something.
Rub the eye surface vigorously.
How can subconjunctival hemorrhage be diagnosed?
Subconjunctival hemorrhage can be diagnosed repeatedly if:
Measuring the blood pressure level.
Measuring the level of diabetes.
What are the ways to treat subconjunctival bleeding?
Many drops help absorb blood in the conjunctiva, and drops can also be used to reduce the feeling of itching or burning, and the complications often go away within a short period.
What should be considered when treating eye bleeding?
In the event of an eye injury resulting from collisions or accidents; it is essential to go immediately to the doctor to diagnose the condition and take appropriate remedial measures, especially in case of bleeding.
The patient needs to refrain from taking anticoagulants that increase the chances of the subconjunctival hemorrhage. If the patient regularly takes these medications for various pathological reasons, including heart disease and venous obstruction, and others, the doctor must consult before taking this to stop pharmaceutical.
In the case of repeated eye bleeding, the ophthalmologist may resort to various options, the most prominent of which is laser treatment.
The eye doctor should be consulted in case of eye infection that may be the cause of intraocular bleeding. The doctor approves appropriate antibiotics, whether as drops, pills, or ointments.
What is the nature of diabetic retinopathy?
Diabetic retinopathy is among the diseases that occur due to an imbalance in the percentage of diabetes in the blood, leading to vision damage. Appear five years after the discovery of diabetes.
Studies show that 90% of people with diabetes suffer from diabetic retinopathy symptoms after twenty years of their diabetes. Another research has shown the relationship between high blood pressure, diabetes, and diabetic retinopathy. Whenever there is regularity in blood pressure, this reduces the incidence of diabetic retinopathy, thereby reducing the occurrence of intraocular hemorrhage.
In the event of diabetes; it is essential to visit the ophthalmologist every six months, even if there are no problems with vision and pregnant women to examine the eye during pregnancy. In the event of sudden changes in vision, it is essential to go immediately to the ophthalmologist.
What are the causes of diabetes retinopathy?
High levels of diabetes in the blood lead to a blockage in the small blood vessels that feed the retina, and in light of this, the eye replaces it through the formation of new blood vessels, but the new vessels don’t grow naturally, and had Intraocular hemorrhage.
What are the risk factors for retinopathy other than diabetes?
Other factors can cause retinopathy other than diabetes, including high blood pressure, high level of bad cholesterol in the blood, smoking, and pregnancy. Some races have a higher incidence of infection; like individuals of Latin and African descent.
What are the symptoms of diabetic retinopathy?
The eyes are often affected by diabetic retinopathy, and symptoms of infection are as follows:
Bleeding inside the eye.
The leak of blood and fluid components in the eye.
The decreased supply of retinal tissue with oxygen and nutrients.
Unable to distinguish colors.
Blurred or opaque vision.
Damage to small blood vessels located in the retina.
Changes in the lining of the blood vessels in the retina.
What are the complications that result from diabetic retinopathy?
Diabetic retinopathy causes abnormal microvascular growth, and this can cause the following complications:
Glaucoma: Glaucoma is among the complications of diabetic retinopathy. Glaucoma occurs due to increased intraocular pressure due to abnormal growth of blood vessels as an alternative to the damaged vessels, which leads to impeding the flow of fluid naturally outside the eye, and then the damage with the optic nerve.
Intraocular hemorrhage: Intraocular hemorrhage is one of the major complications of diabetic retinopathy, and if the hemorrhage is limited. The person may not see any symptoms, or the person may see small dark spots. In severe cases, blood can appear in the vitreous massively and ultimately lead to the prevention of vision. Often, the intraocular hemorrhage doesn’t lead to damage except when a retinal event malfunctions.
Retinal detachment: scar tissue appears as a result of abnormally new blood vessels, leading to retinal detachment.
Vision loss: in the absence of control of intraocular hemorrhage, retinal problems; doing so may result in blindness.
What are the types of diabetic retinopathy?
There are two main types of diabetic retinopathy, and we will explain in detail below:
Background Diabetic Retinopathy: the type that occurs most commonly. The new blood vessels do not grow after the vessels are damaged as a result of the blockage. In the case of this type, the internal walls of the blood vessels in the retina are weakened, dilations of the small blood vessels appear, leakage of blood and fluid to the retina wall, and macular degeneration inflammations in the fibers can occur Nervousness. If this continues, it can lead to the development of the condition from simple to severe.
Reproductive (advanced) diabetic retinopathy: It occurs as a result of the development of the patient's type I non-proliferative condition, where blockage and damage to the small blood vessels occurs. New blood vessels appear abnormally in the retina, which can lead to a leak in the transparent gel in the vitreous. Scarring of the stimulating tissue may occur to produce new blood vessels, leading to detachment of the retina from the posterior part of the eye. That impedes blood flow to the retina feeding; this may increase pressure on the eyeball, as well as damage to the optic nerve whose function is to transfer images from the surface of the eye to the brain. Consequently, the patient develops glaucoma.
What are the methods for diagnosing diabetic retinopathy?
There is more than one method for diagnosing diabetic retinopathy that may cause Intraocular hemorrhage, including:
Endoscopy: Diabetic retinopathy can be diagnosed through ophthalmoscopy and the detection of defects that cause intraocular hemorrhage by seeing abnormally extended blood vessels. Doctors often use different types of drops to expand the pupil of the eye and be able to see the optic disc and retinal wall and the spot.
Fluorescence imaging: Fluorescein fundus can be imaged. Three-dimensional images of the fundus can be taken, and doctors use pigment injection of fluorescein, thus easily identifying damaged blood vessels with leaks that appear as intraocular hemorrhage.
Glaucoma examination: Glaucoma examination helps to know the nature of the level of pressure in the patient's eye, and it is possible to discover the extent of damage to the optic nerve.
Optical tomography (OCT) tomography: Light waves are used in this. Optical correlation tomography helps identify defects in the retina, as well as in the case of macular disease, and thus the ability to view blood vessels and determine the efficiency of blood flow or not.
What are the ways to treat intraocular bleeding for people with diabetes?
In some minor cases resulting from non-proliferative diabetic retinopathy, no treatment is required, and intraocular hemorrhage will go away. It is preferable to follow-up and periodic check-ups but in the event of the development of the case. For people with diabetes, intraocular bleeding can be treated with the following:
Laser treatment is an ideal option, as the patient is examined. Accordingly, the doctor determines when to perform laser surgery, the purpose is to prevent blood leakage from capillaries and maintain the vision level.
Some research studies indicate that laser treatment avoids the patient's risk of low vision and that there are approximately 10% of cases with an intra-ocular hemorrhage for diabetes whose vision has improved more than the period before laser treatment. Laser treatment can be repeated every time in the instability of the patient's condition in future stages.
There is some intraocular hemorrhage cases associated with macular patients (which is a disease that occurs as a result of a rupture of blood vessels under the macula in the posterior center of the retina). These conditions don’t improve through laser treatment, in which case the vitreous cavity can be injected by injecting steroids and controlling blood leakage into blood vessels.
It is possible to perform treatment surgery to remove vitreous, and this process is used in case of retinal detachment. The purpose is to reach the retina and repair the rupture of the retina.
Process steps: The surgeon inserts a small technical device into the eye, then slits the vitreous and pulls it out. The surgeon uses a laser and separates the scar or fibrous tissue from the retina. It can also level the surface of the retina or treat the yellow spot or holes after the process is finished, the doctor injects eye with the propane gas, propane, or silicon oil in the place of the vitreous, thereby restoring the eye to its normal function.
Medical studies indicate that there are between 35-40% of diabetic retinopathy cases, which have increased intraocular pressure temporarily. Still, if the situation continues to do so, the patient is at high risk, and this may lead to lens blackout and Intraocular hemorrhage, and in some rare cases, this causes eye pollution.
In the case of advanced (proliferative) diabetic retinopathy, here is an opportunity for new blood vessels to grow above the retina or into the vitreous cavity, in which case treatment should cover all areas of the retina. In this case, large areas of the retina are affected. In some cases, the doctor can sacrifice peripheral vision versus maintaining the central vision related to the macula, the therapeutic goal of getting rid of new blood vessels, and avoiding intraocular hemorrhage.
Many studies have involved providing alternative treatments for people with diabetic retinopathy, but this requires further research. To ensure the viability of this type of treatment and whether it is safe or not, the patient must inform the treating ophthalmologist if using herbal substances or nutritional supplements, sometimes these products may cause interactions with therapeutic drugs that lead to increased Intraocular hemorrhage. It is preferable to resort to tried drug therapies, rather than go for alternative therapies that haven't been proven effective enough.
How can diabetic retinopathy be prevented?
Many methods help protect against diabetic retinopathy and thus avoid the resulting intraocular hemorrhage, and we will explain this as follows:
Control of sugar: Diabetes is among the common illnesses, and it has many complications, including what is associated with the occurrence of the negative eye. In the case of controlling blood sugar through therapeutic drugs and physical activities every day, this protects against retinopathy Diabetes and avoids intraocular hemorrhage.
Maintaining a healthy cholesterol level: An individual needs to maintain a healthy cholesterol level in the blood, which is between 100-129 mg / dL; this is to avoid any complications caused by high harmful cholesterol.
Follow-up by a doctor: The diabetic patient must perform a periodic examination to prevent any negative causes that may lead to intraocular hemorrhage in future stages.
Refrain from smoking: Refraining from smoking is among the preventive measures that help avoid the dangers of sugar and prevent diabetic retinopathy.
Daily blood sugar test: The patient should check the level of sugar in the blood every day, sometimes doctors advise measuring the sugar more than once, and the same thing concerning pressure, to avoid complications.