Diabetic fundus hemorrhage, mainly caused by diabetic retinopathy, can be treated by medical nutrition therapy, use of drugs, retinal photocoagulation, vitrectomy surgery, anti-vascular endothelial growth factor intravitreal injection, etc., which need to be analyzed specifically.
1. Medical nutritional therapy: Medical nutritional therapy is the basic management measure for diabetes mellitus, and it is recommended to use the nutritional distribution plan individually formulated by the dietitian to form a good dietary habit and improve the problems such as insulin resistance and pancreatic islet dysfunction.
2. Use of medication: drugs such as gliclazide and metformin can be taken orally, or insulin can be injected, etc., in order to carry out blood glucose control and avoid aggravating the degree of retinopathy.
3. Retinal photocoagulation: Before severe fundus hemorrhage, but not yet the emergence of fundus fiber proliferation, vision is not yet threatened, retinal photocoagulation as early as possible, in order to inhibit neovascularization, coagulation of hemorrhagic blood vessels, to reduce the hemorrhage.
4. Vitrectomy: If there are vision-threatening conditions (e.g., unabsorbed vitreous blood, macular edema and retinal detachment, etc.), vitrectomy should be performed as soon as possible to remove the vitreous blood. When there is vision-threatening macular edema, anti-vascular endothelial growth factor intravitreal injection can also be used to inhibit neovascularization.
Diabetic fundus hemorrhage needs to be treated promptly in order to preserve vision as much as possible. It is recommended to consult a doctor for comprehensive ophthalmologic examination (e.g., color fundus photography, fundus examination after pupil dilation) and other related examinations, so as to clarify the cause of the disease in a timely manner and treat the symptoms, and if you need to use medication and other treatments, it is recommended to follow the doctor’s instructions and avoid unauthorized use of medication.