Watch out for these vision thieves


Fundus disease is a kind of chronic, progressive and irreversible blinding eye disease, but in many cases, it is not a single occurrence, but also accompanied by cataracts, glaucoma and other blinding eye diseases, bringing multiple troubles to patients.

Such cases often require a multidisciplinary consultation to preserve the patient's vision.

At present, cataract, glaucoma, fundus disease is the world's top three blinding eye diseases, how to truly achieve "early screening and early diagnosis and early treatment, symptomatic treatment, scientific maintenance", requires the joint efforts of ophthalmologists, grass-roots general practitioners and patients.

Many elderly patients confuse cataracts with fundus disease, blaming the former for vision loss.

However, there are still many differences in their symptoms. The scope of vision impairment in cataract patients is the blurring of the entire field of vision, which is a chronic progression, while patients with fundus disease are usually accompanied by visual deformation and distortion, and some patients may have visual field defects.

For example, the door frame is crooked, there is a black hole in the middle of the front. These fundus lesions occur in a fairly short period of time, as soon as only one to three months.

The direct and serious consequence of confusing the disease is the delay in treatment, and countless patients with various degrees and symptoms have been seen in outpatient and surgical procedures, and some of them have been delayed to the degree of blindness.

Even if the patient suffers from simple senile cataract, the treatment is delayed until the mature stage, and the very strong phacoemulsification energy required to remove the cataract during the operation will cause damage to other tissues in the eye. Therefore, it is recommended that timely surgical treatment can be considered once the cataract significantly affects the daily life, work and study.

If a patient is blind due to or accompanied by fundus disease, it is easy to miss the best opportunity for diagnosis and treatment of fundus disease, and even cataract surgery cannot reverse the consequences of vision loss.

At present, the only scientific and reliable means to treat cataract is surgery, while there are many weapons against fundus diseases such as laser, surgery, and anti-VEGF therapy.

In recent years, anti-VEGF therapy has become the preferred treatment for retinal diseases such as macular edema and choroidal neovascularization. Anti-neovascularization drugs such as arbocept can effectively subside macular edema and neovascularization, and achieve the effect of improving and stabilizing vision.

As an irreversible and dangerous eye disease, glaucoma is closely related to fundus disease.

Among them, neovascular glaucoma is a typical representative of glaucoma caused by fundus disease.

Professor Wang Kaijun introduced that it belongs to a kind of refractory glaucoma, due to the new blood vessels induced by fundus disease blocked the Angle of the room, affecting the return of aqueous humor, and the optic nerve damage caused by the continuous rise of intraocular pressure.

The key to prevent neovascular glaucoma is to inhibit the occurrence of neovascularization as early as possible, which can prevent the progression of retinal ischemia and save vision through the common treatment of fundus disease combined with glaucoma surgery.

With the increasing aging of the population, cataract, glaucoma and fundus disease have become the main blinding eye diseases at present.

In recent years, the incidence of these three kinds of eye diseases has gradually become younger.

With the younger age of basic diseases such as high blood pressure and diabetes, their damage to the eye is also occurring earlier.

The risk of these people suffering from the above eye diseases is more than ten times higher than that of ordinary people, and the confirmed patients should be extra vigilant about the occurrence of eye diseases in addition to regular referral in the corresponding departments, and the prevention work should be done.

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