With the improvement of people’s living standard, do you find that more and more people around you begin to suffer from “affluenza”, diabetes is one of the main culprits, the complications of diabetes involves many organs of the body, in the eye the most serious complication is blinding fundus hemorrhage, so what is the diabetic fundus hemorrhage? What is diabetic fundus hemorrhage? Is there a good treatment for it? 1.What is diabetic fundus hemorrhage? Diabetic patients with poor blood glucose control develop fundus vascular hemorrhage and edema, leading to vitreous hemorrhage and retinal detachment in severe cases, which is an irreversible and blinding eye disease. According to statistics, the incidence of fundus complications is higher in diabetic patients of 10 years or more, regardless of age. Therefore, diabetic patients should regularly visit the ophthalmology clinic to review the fundus situation while controlling their blood glucose, so that changes in the condition can be detected and treated early to improve the quality of life. Once vitreous hemorrhage occurs, it means that the eye lesion has entered the proliferative stage, which is already quite serious and needs timely treatment; if not treated, it may develop into neovascular glaucoma, and the patient’s eyes will be blind and painful, and it is difficult to recover from the treatment at this time. 2.What are the manifestations of diabetic fundus hemorrhage? Diabetic retinopathy early patients do not feel obvious, once the vitreous hemorrhage appears, the patient will feel a sudden loss of vision, black shadows in front of the eyes obscured. 3.What tests are needed when fundus hemorrhage appears? Systemic examination: blood glucose, blood lipid, glycated hemoglobin, glycated serum protein, blood pressure; Ophthalmic examination: visual acuity, intraocular pressure, dilated fundus examination, OCT (optical coherence optical tomography), FFA (fluorescence fundus angiography). 4.How to treat diabetic fundus hemorrhage? Systemic treatment: strict control of blood glucose and blood pressure, and reduction of blood lipids are the key and the foundation. Ophthalmic treatment: (1) Laser: local retinal photocoagulation can be considered for macular edema and circumferential exudation in milder cases; whole retinal photocoagulation (PRP) is needed in more severe cases. We have a variety of wavelengths of laser machines, and currently use the most advanced PASCAL multi-point scanning laser, which is faster than previous laser treatment, less painful to patients, better patient cooperation, less postoperative fundus reaction, significant efficacy, and also shortens the treatment period. (2) Vitreous cavity injection: vitreous cavity injection of anti-VEGF (razumab lucentis), tretinoin, long-acting hormone and other drugs combined with laser photocoagulation for diabetic macular edema, which can reduce edema and improve patients’ visual acuity. Our hospital was the first in China to carry out the treatment of macular edema in 2005, and is now in the leading position in China. If neovascularization appears in the eye of diabetic patients, intraocular injection of razumab can inhibit neovascularization and slow down the development of the disease. (3) Vitrectomy: When vitreous hemorrhage is large and is not absorbed by medication for one month, or when retinal detachment with traction is present, vitrectomy can be considered for treatment. Our hospital adopts the advanced 23G vitrectomy surgical method, which requires no sutures after surgery, with little reaction, fast recovery and high patient satisfaction. 5.How often do diabetic patients need to have their eye fundus checked? (1) When diabetes is detected, patients should have their fundus examined once a year with dilated pupils. (2) Patients found to have early diabetic fundus lesions should have their eyes examined every 6-9 months. (3) Patients with severe diabetic fundus lesions should have their fundus examined every 1-3 months and undergo fluorescence angiography. The specific examination interval should be based on the examination results and recommendations of the ophthalmologist.