Can Diabetic Retinopathy Be Treated with Eye Drops?

 Eye drops don't treat the underlying blood vessel damage in your retina, even if they might assist with some of the symptoms of diabetic retinopathy.

Diabetes can lead to complications such as retinal damage. This type of eye illness affects at least 50% of diabetics. Additionally regarded as the most prevalent avoidable cause of blindness is diabetic retinopathy.

Treatments for diabetic retinopathy include surgery, laser treatments, and injectable medicines. Certain varieties of eye drops are classified as supportive therapies.

Find out more about the management of your overall eye health and comfort using eye drops, as well as therapies for diabetic retinopathy.

What eye drops help treat symptoms of diabetic retinopathy?

Damage to the blood vessels in your retina results in diabetic retinopathy. Vision changes may result from blood vessels draining into the central part of your eye as this eye condition worsens. Usually, it affects both of your eyes simultaneously.

The layer of cells in the back of your eye called the retina helps with light perception. Thus, retinopathy may result in the following symptoms:

  • difficulty seeing objects from far away
  • difficulty reading
  • blurry vision
  • floaters, or dark spots in your vision

Numerous over-the-counter (OTC) and prescription eye drops are available to assist treat common conditions affecting the eyes, including allergies and dry eyes.

A damaged retina, however, cannot be repaired with eye drops. Because of this, using eye drops without a doctor's particular recommendation is not advised.

If a physician prescribes eye drops, it might be to ease discomfort in the eyes.

Nonsteroidal anti-inflammatory drug (NSAID) eye drops

You can use NSAID eye drops to help stop swelling. Nevertheless, diabetic retinopathy is not specifically treated by these prescription eye drops.

Steroid eye drops and NSAID eye drops can be combined.

Steroid eye drops

Steroid eye drops on prescription might lessen redness and swelling. On the other hand, steroid implants or injections might be more successful in treating macular edema, or swelling, brought on by diabetic retinopathy.

Over-the-counter (OTC) eye drops

Pain and inflammation-reducing eye drops are typically only accessible with a prescription. Conversely, over-the-counter alternatives could lessen redness or lubricate the eyes. As an example, consider:

  • antihistamine drops
  • redness-relieving eye drops
  • artificial tears

OTC eye drops are ineffective in curing diabetic retinopathy, while they may reduce redness and pain to some extent.

Proven treatments for diabetic retinopathy

The underlying reasons for diabetic retinopathy are not addressed by eye drops. Alternatively, a physician can suggest a mix of the subsequent actions and therapies.

Managing diabetes

Diabetes-related high blood sugar (glucose) levels have the potential to progressively harm blood vessels throughout your body, including the retina.

A diabetic treatment strategy that incorporates lifestyle modifications and medication may help lower your risk of eye problems and improve glucose levels.

Among these tactics are:

  • Take your diabetes medicine as directed
  • getting regular exercise
  • obeying a doctor's or dietitian's diet recommendations
  • avoiding alcohol
  • quitting smoking, if you smoke

Regular eye exams

Diabetic retinopathy is asymptomatic in its early stages. A doctor may be able to identify early indicators of eye disorders like retinopathy with the use of annual eye exams, allowing you to potentially begin treatment before vision loss and other difficulties worsen.

Generally speaking, diabetic retinopathy should be evaluated in patients with type 2 diabetes who have just received a diagnosis.

After being diagnosed with type 1 diabetes, individuals should get an eye examination five years later.

If you already have diabetic retinopathy, your doctor may need to examine your eyes every two to four months to check on any changes in your condition and modify your treatment plan.

Diabetic retinopathy medications

There aren't any oral drugs available right now to treat diabetic retinopathy. Nonetheless, certain injectable drugs might be able to aid with this illness.

One such choice is anti-vascular endothelial growth factor (VEGF) drugs. Anti-VEGF therapy reduces macular edema, which is occasionally brought on by diabetic retinopathy. The goal is to slow down the course of the illness and potentially save your vision.

An ophthalmologist might suggest anti-VEGF injections once a month and gradually reduce the dosage.

Injections of steroids may also lessen ocular edema and enhance eyesight. But since they also raise your risk of cataracts and glaucoma, these might not be your first choice for treatment.

Laser surgery for diabetic retinopathy

If managing diabetes and taking medication isn't enough to stop this degenerative eye illness, a doctor might suggest laser surgery. In extreme circumstances, you might require several therapies.

For diabetic retinopathy, there are two types of laser therapy: scatter and focused.

Disperse lasers narrow blood vessels that contribute to diabetic retinopathy, whereas focal lasers lessen the rate and volume of blood loss in your eye.

Vitreous surgery

To improve vision, vitreous surgery—also known as a vitrectomy—involves extracting blood from the center of your eye. This treatment can be carried out by a surgeon under general or local anesthesia.

Implants

Steroid implants are yet another therapeutic option. These are injected into your eye as well, but because they release small amounts of medication gradually over several months at a time, the effects remain longer. Eventually, the implant will naturally disintegrate.

If injectable treatments are not working for you or you are unable to have frequent injections, your doctor might suggest steroid implants instead of injectable medications.

What is the latest treatment for diabetic retinopathy?

The development of potential therapies for diabetic retinopathy is still ongoing. Applying more focused treatments to stop inflammation in immune cells known as microglia is one field of increasing attention.

Targeting microglia cells may help prevent vision loss in diabetic retinopathy, according to a 2024 review.

Using the cholesterol-lowering medication fenofibrate (Fenoglide, Lipofen, Triglide) is an additional option that may help halt retinopathy advancement.

When to get medical help

Treating diabetic retinopathy as soon as possible may help avoid or delay visual loss. This is dependent upon both general diabetes treatment and an early diagnosis.

Think about seeking medical attention if you:

  • Have diabetes: A healthy blood glucose level is one of the best defenses against diabetic retinopathy. Maintaining normal cholesterol and blood pressure levels can also lower your risk.
  • Experience changes in your vision: Immediately get in touch with a physician if you notice any changes in your vision, such as:
    • dark or blind spots in your vision
    • distorted vision
    • blurry vision
    • difficulty reading
    • difficulty seeing at night
  • Are due for an eye exam: Additionally, it's critical to have an annual eye exam to recognize and treat retinopathy as soon as feasible. Depending on your type of diabetes and whether you are pregnant, you could require examinations more frequently.

Living with diabetic retinopathy

Diabetic retinopathy can be controlled so that your eyesight may improve if it is identified and treated early.

With medication and blood sugar control, it may be feasible in certain cases to reverse visual loss that occurs in the early stages of this disorder.

Moreover, treatment may lessen your chance of acquiring associated problems like glaucoma, retinal detachment, and diabetic macular edema.

Diabetic retinopathy has the potential to lead to blindness if left untreated. Diabetes that is not controlled can also raise this risk.

Takeaway

One common diabetes-related condition that affects eyesight is diabetic retinopathy. Although some of the symptoms of this disorder may be lessened by specific eye drops, the underlying issues cannot be treated by these.

A doctor might suggest injections, laser treatments, or vitreous surgery in addition to a diabetes care regimen.

Consult a physician on your eye health and any recommended measures to maintain your eyesight while managing diabetes.


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