Diabetes is a multi-organ disease and from the eye standpoint, it's the leading cause of blindness. We use our digital scanning ophthalmoscope to photograph the retina on each visit to look for early signs of leakage or hemorrhage. If those signs are there our patient will be referred to an ophthalmologist to get that sealed up, in order to protect their vision, and from there; they'll be seeing their GP or endocrinologist to further look into the signs of diabetes.
You should take your child for his or her first visit with an optometrist by the age of three, or even earlier you think there might be a problem. The optometrist will discuss your family history and perform eye tests on your child to check for conditions such as farsightedness, nearsightedness and astigmatism. The optometrist will also look for any muscle imbalances in the eye that could indicate a condition such as strabismus or amblyopia.
Dr. David Maberley, MD, MSc. (Epid), FRCSC, Ophthalmologist : How Wet Macular Degeneration is Treated Compared to Dry Macular Degeneration
The dry macular degeneration form tends to be managed right now with antioxidant vitamins. And there’s a formulation that has been developed through the National Institute of Health in the United States.
It was a large, properly designed clinical trial that give us a recommendation for certain vitamins. And those vitamins are Vitamin C and E, zinc, usually with some copper supplementation, so you don’t get anemia with too much zinc, and then something called lutein or zeaxanthin, which are carotenoid chemicals that protect the macula.
So that formulation tends to be what’s recommended these days for patients with evidence of early macular degeneration, and really, the key thing here is that you need to have an ophthalmologist tell you that you have enough macular generation to go on the vitamins, and not just go on them on your own because you may or may not actually benefit from them.