William S Goldstein, MD Blog

The Danger of Diabetes in the Eye

September 7, 2011 — by William Goldstein
Tags: Glaucoma Treatment Diabetic Eye Disease Glaucoma Detroit Diabetic Retinopathty Diagnosis Glaucoma

The dangers of Diabetes in the eye are well documented, and I had a reminder of that danger over the Labor Day weekend. I was called into the hospital to see a patient who complained of severe left eye pain. She had been having this problem for about 3 weeks, and her pain was increasing as her vision was decreasing.

When I examined her, I found that the pressure in her left eye was almost 3 times normal. As I looked further, I observed a pattern of lacy blood vessels growing on the iris of her eye. This was a sign that the Diabetes was causing a severe problem known as neovascular glaucoma.

In all likelihood, it is too late to save much if any vision in her eye. The diabetic eye disease has progressed beyond the usual retina issues, and is affecting the front of the eye. Multiple eyedrops to control pressure along with aggressive laser in the retina will be used in an attempt to save her eye, and it will be a long road.

Yearly eye exams for all patients

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Glaucoma, The Silent Killer

May 5, 2011 — by William Goldstein
Tags: Glaucoma Detection Glaucoma Michigan Glaucoma Glaucoma Detroit Diagnosis Glaucoma

Glaucoma is one of the leading causes of blindness in the United States in the elderly population, but it is a preventable cause! Unfortunately, it does not have any symptoms, so it is sometimes called the Silent Killer of Vision by eye doctors. It can only be discovered by an eye-care professional during a full eye examination. This is the reason that yearly eye exams are required for every patient above the age of 50.
So, how is glaucoma discovered during an eye examination? There are two findings that would raise a doctors suspicion. First, high pressure inside the eye, usually above 20 mm Hg, may be found. Even if the pressure is normal, glaucoma may be detected if the optic nerve inside the eye has an abnormal appearance.
Once an abnormality is found, testing needs to be done to determine if the patient has glaucoma or if they need to be followed for the future development of the disease. Visual field testing and optic nerve mapping with an OCT or HRT instrumen

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