Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment digital illustration

Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment Save


ICD-10 code: E11.354

Chapter: Endocrine, nutritional and metabolic diseases

Type 2 Diabetes Mellitus with Proliferative Diabetic Retinopathy with Combined Traction Retinal Detachment and Rhegmatogenous Retinal Detachment: Understanding the Condition

Type 2 Diabetes Mellitus is a chronic metabolic disorder that affects millions of people worldwide. It is characterized by high levels of glucose in the blood due to the body's inability to produce enough insulin or use it effectively. One of the complications that can arise from uncontrolled diabetes is diabetic retinopathy, which can lead to blindness.

Proliferative Diabetic Retinopathy (PDR) is an advanced stage of diabetic retinopathy where the blood vessels in the retina start to grow abnormally. These new blood vessels are fragile and can bleed into the eye, causing vision loss. Combined Traction Retinal Detachment (TRD) and Rhegmatogenous Retinal Detachment (RRD) occur when the retina is pulled away from the underlying tissue due to the formation of scar tissue and the accumulation of fluid in the eye.

Patients with Type 2 Diabetes Mellitus who have PDR with combined TRD and RRD may experience symptoms such as blurred vision, floaters, and flashes of light. If left untreated, this condition can lead to severe vision loss and even blindness.

Treatment Options

The primary goal of treatment for Type 2 Diabetes Mellitus with PDR with combined TRD and RRD is to prevent further damage to the eye and preserve vision. Treatment options may include:

  1. Laser Surgery: Laser surgery is used to seal leaking blood vessels and prevent the growth of new ones. It can also be used to reduce swelling and prevent further damage to the retina.
  2. Vitrectomy: Vitrectomy is a surgical procedure where the vitreous gel in the eye is removed to relieve traction on the retina. This procedure is often combined with laser surgery to repair any retinal tears or detachments.
  3. Intravitreal Injections: Intravitreal injections of medications such as anti-VEGF or corticosteroids may be used to reduce inflammation and prevent the growth of new blood vessels.

It is important for patients with Type 2 Diabetes Mellitus to manage their blood sugar levels to prevent the development of diabetic retinopathy. Regular eye exams are also essential to detect any changes in the retina and prevent vision loss.

Conclusion

Type 2 Diabetes Mellitus with PDR with combined TRD and RRD is a serious condition that requires prompt treatment to prevent vision loss. With early detection and proper management, patients can maintain their vision and prevent further damage to the eye.