Eye medications may cause burning for a few minutes. However if the medications cause redness, or swelling of the eye lids, or severe itching inform your eye doctor immediately.
Always bring the bottles with you when you come to the hospital. Please apply all the medications as instructed by your doctor on the day of your appointment unless your doctor has specifically asked you not to. It is enough to put one drop into the eye. Make sure it goes in, if in doubt you can apply one more drop.
Remember to carry eye drops with you when you travel. Use them in the same way as you did while at home. The patient must be careful in preventing contamination while traveling.
Divya Prabha Eye Hospital
How to place eye drops in the eye
* Wash hands with soap and water
* Shake bottle vigorously
* Tilt head back and look upward
* Gently pull the lower eye lid away from the eye, forming a pouch.
* Place a drop in the pouch. Be careful not to touch the eyelid with the tip of the tube.
* Replace the cap on the dropper and tighten
* Gently close the eye
* Press the inner corner near the nose for one minute
* If you are using more than one eye drop, wait atleast five minutes before applying the other eye drops.
* Store medication in a cool place. Avoid direct sunlight and bright light.
How to place eye ointment in the eye
* Wash hands with soap and water
* To improve flow of ointment, hold tube in hand several minutes to warm before use.
* Tilt head back and look upward
* Gently pull the lower eye lid away from the eye, forming a pouch.
* Place about this much ###### ointment into the pouch. Be careful not to touch the eyelid with the tip of the tube.
* Replace the cap on the tube and tighten
* Gently close the eye and roll eye in all directions while eye is closed. Temporary blurring may occur.
* Press the inner corner near the nose for one minute
* If you are using more than one eye drop, wait atleast five minutes before applying the other eye drops.
* Store medication in a cool place. Avoid direct sunlight and bright light.
Posted by jalaja at 9:29 AM 0 comments
Spectacles
An introduction to common eye problems and their management is given below. These are based on patient education pamphlets used in our hospital. Please click on the links to read the matter
Spectacles
What are the types of refractive errors?
There are three different focusing problems which may require the need for corrective glasses. These are: Myopia or shortsight
Myopia This is often discovered in children when they are 8 to 10 years old. A myopic eye is longer than normal and so light rays are focused in front of the retina causing a blurred image.
Hyperopia or long sight A hyperopic eye is shorter than normal and so light rays are focused behind the retina causing a blurred image. Most children are normally a little farsighted. Hyperopia needs to be corrected in young people if it causes decreased vision or is associated with crossed eyes.
Astigmatism In astigmatism light rays enter the eye and focus at different places on the retina. It distorts and blurs vision for both near and far objects.
Choosing a frame
The most important factor to consider is the fit of the frame. It doesn't matter how good a frame looks if you always have to push it back up your nose. Make sure that the frame fits the bridge of your nose without slipping down, remembering that the finished spectacles will be heavier than the frame when you try it on.
The frame should not rest on your cheeks. Try smiling while you are trying on the frame - if it rides up, then it is sitting on your cheeks, not your nose.
A frame should also suit your lifestyle. If you are very active, or wear your spectacles while exercising, then a smaller frame may be better, since your spectacles will be less likely to fog up than if they have a large, close-fitting frame.
Ready-made spectacles
Ready-made spectacles are inexpensive spectacles which are sold without prescription in pharmacies and other outlets. Although ready-made spectacles are often sold as 'magnifying spectacles' they are designed to correct presbyopia. Presbyopia is a condition which affects practically all people over the age of approximately 45 years, in which the eye gradually loses the ability to adjust its focus to see near objects clearly.
Unfortunately people in this age group are also the most likely to suffer from eye diseases such as glaucoma and cataracts and are likely to neglect having their eyes examined for these diseases because they think that their problems will be fixed by the ready-made spectacles. Without a professional eye examination, many serious conditions can easily go unnoticed until vision has been irretrievably damaged.
Ready-made spectacles are also a poor consumer choice from an optical perspective. They have the same prescription in each lens but 75 per cent of people requiring a vision correction require lenses with different powers in each eye. They do not have any correction for astigmatism and 80 per cent of people require a correction for astigmatism.
Children with refractive errors
Modern research suggests that one in five school children have an undetected eye problem. A child's vision is fully developed by the age of 8, and without early diagnosis and treatment vision defects such as "squints" or "lazy eyes" can become permanent disabilities.
Typical warning signs are: Excessive blinking
Squinting or screwing up the eyes to see
Peering closely at books and TV
Clumsiness
Poor performance at school
Reluctance in reading
Headaches
Children lead very active lives, and therefore spectacles must be comfortable and safe to wear. To this end all of our children's spectacles are supplied with Plastic lenses. Plastic lenses are lighter that tradition glass lenses and more importantly are much more resistant to breakage. This combination provides lightweight and safe spectacles
Contact Lens Practitioner has often prescribed for children of 10 years and above. The main criteria is to ensure that both children and parents are aware of the high level of care required to maintain contact lenses so that they are safe and comfortable to wear.
What to expect from new glasses...
If you are getting eyeglasses for the first time or changing your prescription, you should always allow 2-3 weeks for your eyes to adjust to the new lenses. In the beginning, you could experience mild dizziness, headaches, or even slight nausea. These symptoms are normal; however, if they persist, call your optician.
If you experience any problems with your new frames, including discomfort on the nose or ears, return to your optician for an adjustment. Also, your glasses should remain stationary on your face when you nod or turn your head quickly. If your glasses slide down your nose or tilt to one side we will be happy to adjust them for you.
Caring For your Glasses.
There are a number of things you can do to prolong the life of your glasses:-
Always keep your glasses in a case when not in use. This will protect your lenses from scratches and will also help to extend the life of your frame.
To avoid scratching, never lay your lenses directly on any type of hard or abrasive surface.
Be sure to use both hands when removing or putting on your glasses, to avoid bending the frame.
Do not allow anyone to "try on" your glasses. Your frame will have been custom fitted for you. Letting others wear your glasses, even for a moment, can cause stretching or other damage.
Clean your lenses and frame on a regular basis with warm water or an approved lens cleaner and wipe clean with a dry cloth. To avoid scratching, never wipe your lenses when they are completely dry.
Your glasses will last longer if you have them adjusted every 3-4 months. This allows us to check for loose screws or other possible problems. If your frame breaks, do not attempt to repair it with tape or glue. Take it to your optician, as we can repair it properly.
Don't wire your lenses while they are dry; wash (or) blow off dust (or) grit instead never use paper products to wipe glasses as they can scratch the lens.
Re-Using Your Frames.
Re-Using your own frame can be a good alternative to searching for another frame that suits you, or spending a lot of money on a new frame when your budget is a little low. But before considering this there are a few things you should bare in mind.
Plastic frames must be heated and stretched to insert new lenses. Because the resins used in plastic frames tend to become hard and brittle with age, there is a high risk of breakage when you re-use an old frame, regardless of how much the frame cost when you bought it, or which manufacter made it.
How long before your next Eye Examination?
Many people equate the need for an aye examination with replacing their glasses. They feel as long as they're seeing relatively well and their glasses are holding up, everything is okay. Unfortunately, that's not always the case. Your eyes, like the rest of your body, undergo gradual changes as you grow older. However, unlike the rest of your body, your eyes rarely hurt when something is wrong. Undesirable changes in your eye health can occur which will not adversely affect vision in the early stages. Such is the case with glaucoma, cataracts and complications caused by high blood pressure and diabetes. Your optician will check for symptoms of these conditions to detect these problems before they worsen to the point where your vision could be affected adversely, and perhaps permanently affected.
Eye Anatomy
Eye Anatomy
The human eye is the organ which gives us the sense of sight, allowing us to learn more about the surrounding world than any of the other five senses. We use our eyes in almost everything we do, whether reading, working, watching television, writing a letter, driving a car, and countless other activities. Sight is the most precious of the five senses, and many people fear blindness more than any other disability. The eye allows us to see and interpret the shapes, colors, and dimensions of objects in the world by processing the light they reflect or give off.
When you look at an object, light rays are reflected from the object to the cornea, which is where the miracle begins. The light rays are bent, refracted and focused by the cornea, lens, and vitreous. The lens' job is to make sure the rays come to a sharp focus on the retina. The resulting image on the retina is upside-down. Here at the retina, the light rays are converted to electrical impulses which are then transmitted through the optic nerve, to the brain, where the image is translated and perceived in an upright position!
Think of the eye as a camera. A camera needs a lens and a film to produce an image. In the same way, the eyeball needs a lens (cornea, crystalline lens, vitreous) to refract, or focus the light and a film (retina) on which to focus the rays. If any one or more of these components is not functioning correctly, the result is a poor picture. The retina represents the film in our camera. It captures the image and sends it to the brain to be developed. The macula is the highly sensitive area of the retina. The macula is responsible for our critical focusing vision. It is the part of the retina most used. We use our macula to read or to stare intently at an object.
The eye changes light rays into electrical signals then sends them to the brain, which interprets these electrical signals as visual images. The eyeball is set in a protective cone-shaped cavity in the skull called the orbit or socket and measures approximately one inch in diameter. The orbit is surrounded by layers of soft, fatty tissue which protect the eye and enable it to turn easily. Six muscles regulate the motion of the eye. Among the more important parts of the human eye are the iris, cornea, lens, retina, conjunctiva, the macula, and the optic nerve.
The wall of the eye. These include: (1) the sclera and cornea, (2) the uveal tract, and (3) the retina. The sclera and cornea consist of tough tissues that make up the outer layer of the eyeball and give it strength as well as protect it. The sclera covers about 85 percent of the eyeball and the cornea the remaining 15 percent. The sclera is the white part of the eye and has the strength and feel of soft leather. Although the sclera appears to have many blood vessels on its surface, most of these vessels are part of the conjunctiva. In contrast, the cornea contains no blood vessels and is relatively dehydrated; as a result, it is transparent. The cornea lies in front of the colored part of the eye and resembles the crystal of a wrist watch. The cornea allows light rays to enter the eyeball.
The lens lies directly behind the iris and is connected by strong, microscopic fibers to the ciliary body, which encircles the iris. The lens is a flexible structure about the size and shape of an aspirin tablet. Like the cornea, the lens is transparent because it contains no blood vessels and is relatively dehydrated. The muscles of the ciliary body make constant adjustments in the shape of the lens. The adjustments produce a sharp visual image at all times as the eye shifts focus between nearby and distant objects. Both the cornea and lens are kept nourished and lubricated by a clear, watery fluid produced continuously by the ciliary body called aqueous humor. Aqueous humor fills the area between the lens and cornea. Fluid that has already nourished both these parts of the eye flows into a drainage system at a spongy, circular groove where the cornea and the sclera meet. It then travels through the veins of the eyeball into the veins of the neck.
The iris is the colored disk that lies behind the cornea and is what people refer to when they speak of the color of their eyes. Melanin, a dark brownish-black substance inside the cornea, determines eye color: the more melanin there is and the closer it is to the surface of the tissue, the darker the color of the iris. For example, there is more melanin in brown eyes--and it lies closer to the tissue surface--than in blue eyes. In addition to giving the iris color, melanin absorbs strong or bright light that might otherwise be too overwhelming or cause blurred vision. Melanin is the same substance that give skin and hair their color. People called albinos have little or no melanin and appear to have milky-white skin, white hair, and pinkish-gray irises. Quite often they have very poor vision and their eyes are extremely sensitive to light.
The conjunctiva is a membrane that lines the inside of the eyelids and extends over the front of the white part of the eye. It produces mucus, a clear viscous fluid that lubricates the eyeball, as well as some tears, which help keep the eye clean. Most tears, however, are produced by the lacrimal glands. A lacrimal gland lies at the upper outer corner of each orbit and spreads a smooth layer of mucus and tears over the eye each time a person blinks. After a person blinks, the fluid spreads evenly over the eye then flows into tiny canals in the lids. These canals lead to the lacrimal sac, a pouch at the lower inner corner of each orbit. From the lacrimal sac, the mucus and tears drain through a passage into the nose.
The optic nerve is formed by rods and cones joined by nerve fibers at the center of the retina. This nerve consists of about a million fibers and serves as a flexible cable that connects the eyeball to the brain. The optic nerve carries the electrical signals produced in the retina to the brain, which interprets them as visual images. The point at which the optic nerve enters the eye is known as the blind spot. It has no rods or cones and as a consequence cannot respond to light. Normally, a person does not notice the blind spot because it covers such a small area and the eye makes so many rapid movements.
The retina makes up the innermost layer of the wall of the eyeball. It is only as strong as a wet piece of tissue paper. Light-sensitive cells in the retina absorb light rays and change them into electrical signals which are passed to the brain and interpreted as visual images. There are two types of these light-sensitive cells--rods and cones. The retina has about 120 million rods and about 6 million cones. Bits of pigment or colored material fill the rods and cones and absorb even the minutest particles of light that strike the retina. The pigment in the rods is called rhodopsin or visual purple, and enables the eye to discern shades of gray and see in dim light. There are three types of pigment in the cones that enable the eye to see colors and to see sharp images in bright light. Cyanolabe absorbs blue light. Chlorabe absorbs green light. Erythrolabe absorbs red light. These pigments enable us to see and distinguish more than 200 colors.
The macula is a round area that lies near the center of the retina. The macula consists primarily of cones and produces a sharp image of scenes at which the eyes are directly aimed, especially in bright light. The rest of the retina provides peripheral vision, which enables the eyes to see objects off to the side while looking straight ahead. Most of the rods lie in this part of the retina. Because rods are more sensitive in the dark than cones, faint objects can often be seen more clearly if the eyes are not aimed directly at them. For example, looking to the side of a dim star makes its image fall on the part of the retina that has the most rods and provides the best vision in dim light. In contrast, the cones in the macula often give a sharper image of an object in bright light if the eyes are aimed directly at it.
Posted by jalaja at 9:26 AM 0 comments
Glaucoma
An introduction to common eye problems and their management is given below. These are based on patient education pamphlets used in our hospital. Please click on the links to read the matter
Glaucoma
What is glaucoma?
Glaucoma refers to a group of disease that can damage the eye's optic nerve and result in blindness. (The optic nerve connects the light sensitive tissue at the back of the eye, with the brain). Open angle glaucoma is the most common form of glaucoma, but unfortunately half of the people with this condition do not know they have it. It has no symptoms at first. But over the years it can steal your sight. With early treatment, you can often protect your eyes against serious vision loss and blindness.
Who are at risk?
People with family history of glaucoma
Diabetics
Myopes i.e. Short sighted individuals
Everyone over the age of 60.
What are the symptoms of glaucoma?
At first, open angle glaucoma has no symptoms. Vision stays normal, and there is no pain. As glaucoma remains untreated, people may notice that although they can see things clearly in front of them, they miss objects to the side and out of the corner of their eye. It looks as if they are looking through a tunnel. Over time, the remaining central vision may decrease until there is no vision left.
How is glaucoma detected?
High pressure puts you at risk for glaucoma. But high pressure alone does not mean that you have glaucoma. Whether or not one develops glaucoma depends on the level of pressure that the persons optic nerve can tolerate without being damaged. This level varies from person to person. Infact even with pressure within the normal range of 12-21 mm Hg a person can develop glaucoma.
To detect glaucoma your doctor will do the following tests:
Record your vision
Pupil dilation and evaluation of the inside of the eye. This is done after dilating or widening the pupils. After examination the vision may remain blurred for several hours.
Measure the pressure inside the eye by gently touching the eye with an instrument
How and when is glaucoma treated?
Treatment can often control glaucoma. This makes early diagnosis and treatment important to protect your sight. You will need to use the drops and pills as long as they help to control your eye pressure. This is very important because glaucoma often has no symptoms; people maybe tempted to stop or may forget to take their medicine.
Once diagnosed with glaucoma medicines must be taken according to doctors instructions and pressure and field must be monitored closely.
Posted by jalaja at 9:25 AM 0 comments
Computer Vision Syndrome
An introduction to common eye problems and their management is given below. These are based on patient education pamphlets used in our hospital. Please click on the links to read the matter
Computer Vision Syndrome
Computer Vision Syndrome (CVS) is commonly seen in persons working on computers for long hours. The symptoms of Computer Vision Syndrome involve not only the eyes but also the musculoskeletal system.
Eye problems consist of:
Eye strain, Watering
Irritation and Foreign body sensation
Headaches or pain in and around eyes
Blurred vision Inability to concentrate after a while
Musculoskeletal problems consist of:
Pain in the neck
Pain in lower bac
Pain in the wrist
Working on computers, watching TV and driving a vehicle are strenuous jobs for our eyes. In all these situations the object of focus keeps moving from one position to other. Hence eyes have to move constantly to keep the object at the centre of the retina. Uncorrected refractive errors are the single most important factors that trigger off this disorder. Hence even a small refractive error need correction.
Adjust the height of the chair to keep the upper edge of the VDT screen below the level of your eyes so that you do not have to extend your neck or keep your eyes wide open to see the screen.
Background should be light & letters dark. Black letters on a white background are easiest to read and least strenuous on the eyes.
Keep the font size at least two points larger than the size you can read easily. Prefer scrolling on the screen rather than zooming down to have every thing in one view. Viewing distance should be comfortable
Place monitor in such a way that there is no reflection of light on the screen. The source of light should be on your sides to avoid reflection on the screen. If a bright source of light e.g. a window is directly in front of your eyes, the glare will be highly disturbing. Some people feel comfortable working in a dimly lit room. Maintaining absolutely essential brightness is necessary to avoid straining eyes.
If you have to work for long hours, use support for the lower back. Position your key board, mouse and monitor in such a way that the body remains in a straight posture to see as well as handle these.
The eyes are constantly moving and accommodating while working on computers. To rest your eyes follow a 20:20:20 rule. It means that every 20 minutes take a break for 20 seconds and get up to look at a distance more than 20 feet. This will rejuvenate your eyes and make working more comfortable
Computer glasses make working on computers comfortable and are not needed otherwise, for distance or near vision correction. Computer glasses should ideally be UV protective and have a good quality anti-reflective coating to avoid the glare.
I use bifocal glasses. But I am not comfortable with either the upper segment or lower segment while working on computers. What can I do?
The placement of monitor is neither like a book in your hand nor like a long distance object. Hence both the segments of your bifocals will be of no use on computers. Either you choose multi-focal glasses or get computer glasses. Older reading glasses may prove to be more comfortable than the recently changed ones.
Is there any association between contact lenses and CVS?
Not really. If the fitting of the contact lenses is perfect and refractive error is completely eliminated, they should prove to be as comfortable as glasses. Sometimes, in an overenthusiastic move to use only contact lenses and not glasses, astigmatic errors are left unattended. In such cases, glasses should be preferred over contact lenses. Also if one has a little dryness in the eyes, contact lenses may add to the discomfort.
What is a dry eye? How does it lead to CVS?
Tears are constantly secreted in our eyes to keep the front surface of the eye wet. This wetness of front surface is absolutely essential for clear and comfortable vision. If there is tear deficiency, it will cause dry eyes and lead to CVS. Also due to extreme concentration, the blinking rate usually decreases. Hence tears dry up faster leading to a to false dry eye state. Such cases can be helped by artificial tears, available as Eye Drops. One should also try and blink as normally as possible.
Dilated Eye Check up
What is the purpose of dilating the eyes?
By dilating the pupil the doctor is able to see all regions of the inner part of the eye, namely, the retina, the blood vessels and the optic disc. In an undilated eye only a small fraction of the total area of the retina will be seen. It helps in detecting diseases of the posterior segment of the eye and also evaluates the general health of the patient especially cardiovascular and nervous system. The doctor is able to accurately measure eyes’ power as in the dilated eye the muscle inside the eye is relaxed. The test is also useful in assessing the drainage system of the fluid inside the eye and to detect and evaluate glaucoma.
What precautions must the patient take?
Vision will be blurred for one day. You might have difficulty in reading during this time. You must arrange for somebody to accompany you on the day of dilatation.
What all procedures will be done?
Direct and Indirect ophthalmoscopic evaluation of the retina
Slit lamp biomicroscopy
Tonometry
Streak retinoscopy to assess your eyes power
Can you please explain the procedure?
One drop of the medication will be instilled in each eye. It will sting for a while but this will pass away soon. You must keep your eyes closed for 30 to 45 minutes. If your eyes do not dilate well then one more drop will be instilled. In diabetics it will take more time for full dilatation to occur. If the doctor needs to do a detailed examination you might have to wait for about one and a half hour before full dilatation occurs.
Can I put the drops at home and come?
Since the eye drops can have some side effects like giddiness and eye ache it is better if it is done under observation. This is especially so in patients with hypertension, glaucoma and long sighted patients.
Why are the types of refractive errors?
There are also three different focusing problems which may require the need for corrective glasses. These are:
Myopia or shortsight. This is often discovered in children when they are 8 to 10 years old. A myopic eye is longer than normal and so light rays are focused in front of the retina causing a blurred image. Hyperopia or long sight. A hyperopic eye is shorter than normal and so light rays are focused behind the retina causing a blurred image. Most children are normally a little farsighted. Hyperopia needs to be corrected in young people if it causes decreased vision or is associated with crossed eyes. Astigmatism. In astigmatism light rays enter the eye and focus at different places on the retina. It distorts and blurs vision for both near and far objects.
Caring for your glasses?
Use water or liquid soap and a soft cloth to clean the glasses. You should handle specs with both hands. Please put your glasses in the protective case and taught never to put the glasses face down on any surface.
What precautions must I take while wearing glasses?
Any alteration of lenses may give rise to symptoms of watering, irritation, depth difference, etc. till one gets used to the glasses. Bifocal glasses give more symptoms than unifocal glasses. Patients who begin wearing bifocals, multifocals and high powered glasses should be careful while going up and down stairs
Can a babies eyes be tested for glasses?
A babies eyes can be tested even before he or she is able to give a verbal response. By dilating the babies pupil the doctor can see all regions of the inner part of the eye, namely, the retina, the blood vessels and the optic disc. The doctor is able to record accurately measure your eyes’ power as in the dilated eye using a streak retinoscope.
Posted by jalaja at 9:23 AM 0 comments
Diabetic Eye Diseases
Diabetic Eye Diseases
Diabetes is a leading cause of blindness among working-age adults in India. Yet with early diagnosis and timely treatment, diabetic eye disease can be controlled. The key is an eye examination through dilated pupils at least once a year. People with diabetes may develop eye problems as a complication of the disease. People with diabetes are 25 times more likely to become blind than people without diabetes. Almost half of all people with diabetes will develop some degree of diabetic eye disease. Early detection and timely treatment of diabetic eye disease can reduce your risk of vision loss and blindness.
What is diabetic eye disease?
Diabetic eye disease refers to a group of eye problems that people with diabetes may face as a complication of this disease. All can cause severe vision loss or even blindness. Diabetic eye disease may include:
Diabetic retinopathy- damage to blood vessels in the retina.
Cataract- clouding of the eye’s lens.
Glaucoma- increase in fluid pressure inside the eye that leads to optic nerve damage and loss of vision.
Who is most likely to get diabetic retinopathy?
Anyone with diabetes. The longer someone has diabetes, the more likely he or she will get diabetic retinopathy. Nearly half of all people with diabetes will develop some degree of diabetic retinopathy during their lifetime.
What are the symptoms of diabetic retinopathy?
Often there are none in early stages of the disease. Vision may not change until the disease becomes severe. Nor is there any pain. Blurred vision may occur when the macula- the part of the retina that provides sharp, central vision – swells from leaking fluid. This condition is called macular edema. If new vessels have grown on the surface of the retina, they can bleed into the eye, blocking vision. But, even in more advanced cases, the disease may progress a long way without symptoms. This is why regular eye examinations for people with diabetes are so important.
How is diabetic retinopathy detected?
If you have diabetes, you should have your eyes examined at least once a year. Your eyes should be dilated during the exam. That means eye drops are used to enlarge your pupils. This allows the ophthalmologist to see more of the inside of your eyes to check for signs of the disease.
Can diabetic retinopathy be treated?
Yes. Your eye care professional may suggest laser surgery in which strong light beam is aimed onto your retina to shrink the abnormal vessels. Laser surgery has been proved to reduce the risk of severe vision loss from this type of retinopathy by 60%. If you have macular edema, laser surgery may also be used. In this case, the laser beam is used to seal the leaking blood vessels. However, laser surgery often cannot restore vision that has already been lost. That is why finding diabetic retinopathy early is the best way to prevent vision loss.
Can diabetic retinopathy be prevented?
Not totally, but your risk can be greatly reduced. Better control of blood sugar levels slows the onset and progression of retinopathy and lessens the need for laser surgery for severe retinopathy.
How common are the other diabetic eye diseases?
If you have diabetes, you are also at risk for other diabetic eye diseases. Studies have shown that you are twice as likely to get a cataract as a person who does not have the disease. Also, cataracts develop at an earlier age in patients with diabetes. Glaucoma may also become a problem. A person with diabetes is nearly twice as likely to get glaucoma as other adults.
What can you do to protect your vision?
Finding and treating the disease early, before it causes vision loss or blindness, is the best way to control diabetic eye disease. So, if you have diabetes, make sure you get a dilated eye examination once a year.
