A female patient, 63 years old, recently came to the clinic with the complaint of bilateral vision loss for 1 week at home for 2 years. The patient complained of a history of diabetes mellitus for 8 years and was treated with glucose-lowering drugs such as “metformin”. Recently, no regular blood sugar check. Ophthalmic examination: visual acuity: right eye: manual, left eye: 0.12. Moderate clouding of the lens in both eyes and poor fundus peek. Vitreous and preretinal hemorrhage was seen after drug dilatation. Ocular ultrasound showed: vitreous clouding in both eyes, blood accumulation was considered in the right eye, and abnormalities in the macula of the right eye. Fundus OCT showed: macular anterior membrane in both eyes, macular cystoid edema in the right eye, scattered hemorrhagic spots in the retina, and mild macular edema in the left eye. Fundus imaging showed: large amount of non-perfused areas in the middle and peripheral regions of the retina in both eyes went with partial fluorescence occlusion, and late fluorescence leakage in the macula of the right eye. Combined with relevant examinations, the patient was diagnosed with diabetic retinopathy in both eyes. The right eye was treated with anti-VEGF injection, and the left and right eyes were treated with total retinal laser photocoagulation, respectively. At present, the patient’s central corrected visual acuity was 0.1 in the right eye and 0.3 in the left eye, and the patient was recommended to undergo cataract surgery in both eyes at an optional stage.
We summarize this case as follows: 1. The patient’s diabetes is not strictly controlled and the blood glucose monitoring is not regular, thus leading to a rapid progression of diabetes. The majority of diabetic friends should strictly control blood sugar and regularly and regularly check the changes of blood sugar. This is the basis of everything.
2, the patient did not timely eye examination fundus lesions. It is said that the eyes are the windows of the soul, because the fundus vessels are the only blood vessels in the whole body that can be seen directly, and the severity of diabetes can be reflected by the fundus examination results to the whole body vascular lesions.
3, the patient’s diabetic retinopathy is heavy, causing extensive retinal hemorrhage, and active treatment helps the progression of the fundus process.