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A cukorbetegség vakságot okozhat

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Írta: orvostkeresek.hu 2009. július 29. szerda, 07:16

Súlyos szemszövődmény: diabéteszes retinopátiaA cukorbetegség szövődményei közül az egyik legsúlyosabb a szemek állapotát érinti. Az elváltozások hosszú ideig tünetmentesek maradhatnak, gyakran már visszafordíthatatlan stádiumban kerülnek felismerésre. A rendszeres szemészeti kontroll elmulasztása így akár a látás teljes elvesztésével is járhat.

Súlyos szövődmények

A cukorbetegség gyakran jár együtt súlyos szemészeti szövődményekkel, amelyek az életminőséget csökkentő látásromlást vagy akár a látás teljes elvesztését, vakságot is okozhatnak.

A cukorbetegség szemészeti szövődményei napjainkban a betegek közel egyharmadában lépnek fel, és minden tizedik cukorbetegben súlyos látásromláshoz vezetnek - hívja fel a figyelmet dr. Tóth Eszter az Oxygen Medical szemész orvosa.

Árulkodó szemfenék

A diabéteszes betegek körében gyakrabban alakul ki zöldhályog, szürkehályog, illetve a szemmozgató izmok bénulása. A szövődmények közül a legsúlyosabb a diabéteszes retinopathia, mely a szem fényérzékelő idegszövetének, a retinának a betegsége. Magyarországon ma ez a nem veleszületett és nem sérülés eredetű vakság második, az Amerikai Egyesült Államokban pedig első számú oka.

A cukorbetegség szemészeti szövődményei sokáig tünetmentesek maradhatnak a beteg számára, éppen ezért nagy jelentőségű a szemészeti szűrővizsgálatok elvégzése.

A szemfenéki elváltozások egyik formája sem jár semmiféle fájdalommal, sem külső gyulladás jeleivel. A korai szakaszban a beteg látása teljesen normális lehet, csak szemfenék vizsgálattal mutatható ki az érelváltozás. Szemfenék vizsgálat során az orvos egy speciális eszköz segítségével a szemfenékre irányítja a fényt, majd az onnan visszatükröződő fény alapján alkot képet a szemfenék állapotáról. A vizsgálat fájdalommal nem jár.

Mikor végeztessünk szemészeti vizsgálatot?

SzemvizsgálatA cukorbetegség okozta vakság kivédésében döntő jelentőségű az optimális vércukor és vérnyomás biztosításával egy időben a betegek korai szemészeti ellenőrzése. Diabétesz esetén az első  szemészeti vizsgálatot a cukorbetegség diagnózisát követően ajánlott elvégeztetnünk. Ilyenkor minden részletre kiterjedő szemvizsgálatot végzünk, s az eredmények függvényében határozzuk meg a kontroll időpontját - magyarázza dr. Tóth Eszter.

A vizsgálatokat általában fél-egy évente, szükség szerint gyakrabban ismételjük.

Különösen fontos a cukorbeteg kismamák nyomonkövetése, számukra a fogantatás előtt, az első trimeszterben, illetve a szemészeti állapot súlyosságától függően 1-12 hetente ajánlott a vizsgálat elvégzése.

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