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Diabetes and Your Eyes

Diabetes is becoming much more prevalent around the globe. According to the International Diabetes Federation, approximately 425 million adults were living with diabetes in the year 2017 and 352 million more people were at risk of developing type 2 diabetes. By 2045 the number of people diagnosed is expected to rise to 629 million. 

Diabetes is a leading cause of blindness as well as heart attacks, stroke, kidney failure, neuropathy (nerve damage) and lower limb amputation. In fact, in 2017, diabetes was implicated in 4 million deaths worldwide. Nevertheless preventing these complications from diabetes is possible with proper treatment, medication and regular medical screenings as well as improving your diet, physical activity and adopting a healthy lifestyle.

What is Diabetes?

Diabetes is a chronic disease in which the hormone insulin is either underproduced or ineffective in its ability to regulate blood sugar. Uncontrolled diabetes leads to hyperglycemia, or high blood sugar, which damages many systems in the body such as the blood vessels and the nervous system.  

How Does Diabetes Affect The Eyes?

Diabetic eye disease is a group of conditions which are caused, or worsened, by diabetes; including: diabetic retinopathy, diabetic macular edema, glaucoma and cataracts. Diabetes increases the risk of cataracts by four times, and can increase dryness and reduce cornea sensation.

In diabetic retinopathy, over time, the tiny blood vessels within the eyes become damaged, causing leakage, poor oxygen circulation, then scarring of the sensitive tissue within the retina, which can result in further cell damage and scarring. 

The longer you have diabetes, and the longer your blood sugar levels remain uncontrolled, the higher the chances of developing diabetic eye disease. Unlike many other vision-threatening conditions which are more prevalent in older individuals, diabetic eye disease is one of the main causes of vision loss in the younger, working-age population. Unfortunately, these eye conditions can lead to blindness if not caught early and treated. In fact, 2.6% of blindness worldwide is due to diabetes. 

Diabetic Retinopathy

As mentioned above, diabetes can result in cumulative damage to the blood vessels in the retina, the light-sensitive tissue located at the back of the eye. This is called diabetic retinopathy. 

The retina is responsible for converting the light it receives into visual signals to the optic nerve in the brain. High blood sugar levels can cause the blood vessels in the retina to leak or hemorrhage, causing bleeding and distorting vision. In advanced stages, new blood vessels may begin to grow on the retinal surface causing scarring and further damaging cells in the retina. Diabetic retinopathy can eventually lead to blindness. 

Signs and Symptoms of Diabetic Retinopathy

The early stages of diabetic retinopathy often have no symptoms, which is why it’s vitally important to have frequent diabetic eye exams. As it progresses you may start to notice the following symptoms:

  • Blurred or fluctuating vision or vision loss
  • Floaters (dark spots or strings that appear to float in your visual field)
  • Blind spots
  • Color vision loss

There is no pain associated with diabetic retinopathy to signal any issues. If not controlled, as retinopathy continues it can cause retinal detachment and macular edema, two other serious conditions that threaten vision. Again, there are often NO signs or symptoms until more advanced stages. 

A person with diabetes can do their part to control their blood sugar level. Following the physician’s medication plan, as well as diet and exercise recommendations can help slow the progression of diabetic retinopathy. 

Retinal Detachment

Scar tissues caused by the breaking and forming of blood vessels in advanced retinopathy can lead to a retinal detachment in which the retina pulls away from the underlying tissue. This condition is a medical emergency and must be treated immediately as it can lead to permanent vision loss. Signs of a retinal detachment include a sudden onset of floaters or flashes in the vision. 

Diabetic Macular Edema (DME)

Diabetic macular edema occurs when the macula, a part of the retina responsible for clear central vision, becomes full of fluid (edema). It is a complication of diabetic retinopathy that occurs in about half of patients, and causes vision loss. 

Treatment for Diabetic Retinopathy and Diabetic Macular Edema

While vision loss from diabetic retinopathy and DME often can’t be restored, with early detection there are some preventative treatments available. Proliferative diabetic retinopathy (when the blood vessels begin to grow abnormally) can be treated by laser surgery, injections or a procedure called vitrectomy in which the vitreous gel in the center of the eye is removed and replaced. This will treat bleeding caused by ruptured blood vessels. DME can be treated with injection therapy, laser surgery or corticosteroids. 

Prevent Vision Loss from Diabetes

The best way to prevent vision loss from diabetic eye disease is early detection and treatment. Since there may be no symptoms in the early stages, regular diabetic eye exams are critical for early diagnosis. In fact diabetics are now sometimes monitored by their health insurance to see if they are getting regular eye exams and premium rates can be affected by how regularly the patients get their eyes checked. Keeping diabetes under control through exercise, diet, medication and regular screenings will help to reduce the chances of vision loss and blindness from diabetes. 

 


A Message to Our Patients

Our patients’ eye care needs are and always have been our top priority. With all that is happening, we are OPEN to help serve our patients. During this difficult time, we have made a few adjustments to our services and availability to ensure the health and safety of you, our staff and our Doctors.

For the Protection of Our Patients,
we have implemented the following procedures in our clinic:

Thank you for your support and understanding during these unprecedented times.

We hope to be able to continue to provide excellent care and service.

Welcome to Texas State Optical Cedar Park

 
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Welcome to Texas State Optical Cedar Park

Our Location

401 West Whitestone Boulevard, Bldg B200
Cedar Park, TX 78613

Office Details

401 West Whitestone Boulevard, Bldg B200
Cedar Park, TX 78613
  • 9:00 AM - 6:00 PM
  • 9:00 AM - 6:00 PM
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  • 9:00 AM - 3:00 PM
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Saturday hours available by appointment only.

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Our Reviews

Dr. Yonker was by far the best eye doctor we have seen. He was extremely thorough in providing multiple options to help hinder my daughters vision from getting worse and providing cost efficient options at that. The staff was also very attentive and helpful in answering all our questions. HIGHLY RECOMMEND! Me and my husband will be returning for ourselves, as well!
2 months ago
5
eye doctor's office
I have gone to see Dr. Yonker several times and he is very professional and Courteous. He is very Knowledgeable and keeps you informed as to what is doing on during your visit. I have never had an issue, and i have referred many of my friends to this office!
3 months ago
5
eye doctor's office
I went in for a eye exam and was not disappointed. The staff here are very friendly also so helpful. Dr Jeffery was extremely helpful and got to the bottom of my vision issues. I highly recommend people coming here.
3 months ago
5
eye doctor's office
Everyone was very knowledgeable of their position. I felt taken care of and all my concerns were addressed. I did not get glasses this day, but they have a nice variety. There office is clean and smells nice.
3 months ago
5
eye doctor's office
The staff are very courteous and helpful, and the Dr. very thorough and helpful.
3 months ago
5
eye doctor's office
This was my son's first ever eye exam. The staff (front desk and beyond) treated him with so much care and attention. They were awesome with him and put him at ease throughout the visit. Dr. Yonker was kind and thorough and explained everything to my son so that he felt important and involved. We will definitely come back.
4 months ago
5
eye doctor's office
All the staff were very helpful with eyewear selection. Very satisfied with everything, especially updates to prescription recommendations by Dr. Yonker.
4 months ago
5
eye doctor's office