Why is it associated with glaucoma and diabetes

Oct 20, 2024

Diabetes is characterized by high blood sugar, which increases the concentration of glucose in the blood due to insufficient insulin secretion or inability to function normally. According to the Health Insurance Review and Assessment Service, the number of diabetic patients in Korea reached 3.83 million as of 2023. The number of patients diagnosed with diabetes due to westernized eating habits and lack of exercise is increasing every year.

Diabetes patients should pay attention to thorough blood sugar management. Long-lasting high levels of blood sugar interfere with blood circulation by narrowing both large and small blood vessels. Diabetes also causes complications in the eyes. Representative blindness diseases include diabetic retinopathy and neovascular glaucoma.

Neovascular glaucoma is a disease in which newly created neovascularization interferes with the flow of waterproofing, which increases intraocular pressure. New blood vessels are new blood vessels that our eyes create in the iris and nearby tissues to cope with damage to existing blood vessels and insufficient oxygen or nutrients. Unlike normal blood vessels, new blood vessels are unstable, which can easily rupture and cause bleeding and inflammation.



It also interferes with the smooth flow of waterproofing that maintains intraocular pressure, increasing intraocular pressure. Adhesion of the anterior angle, which is a passage through which new blood vessels occur irregularly and waterproof, can increase intraocular pressure and cause optic nerve damage, and conjunctival congestion, corneal swelling, and eye pain appear.

Neovascular glaucoma, like regular glaucoma, is initially difficult to detect. This is because if the neovascular is not found in the anterior angle or the degree of proliferation is fine, the intraocular pressure is measured in the normal range. If a new blood vessel develops in the anterior angle, intraocular pressure rises and glaucoma occurs, which can lead to narrowing of vision and blindness. Once damaged, the optic nerve is not easy to recover.



In order to prevent neovascular glaucoma, neovascularization should be detected early through regular checkups. In this case, laser treatment is performed on the retina to suppress the progression of neovascularization. If neovascular glaucoma has progressed and adhesion of the anterior angle has already occurred, glaucoma eye drops are used to lower eye pressure and reduce congestion and inflammation. In addition, laser perineal coagulation or intraocular injection is used to prevent the progression of neovascularization.

If you have diabetes, you should thoroughly manage your blood sugar and regularly check for the presence or absence of neovascularization in the iris and anterior angle. In addition to neovascular glaucoma, diabetic patients should pay attention to possible complications in the eyes, such as diabetic retinopathy. If blood sugar is not properly managed, the retinal blood vessels can be damaged quickly, so care should be taken to prevent blood sugar from rising sharply.



Director Park Sung-eun of Seran Hospital said, `If you are diagnosed with diabetes, you should pay attention to blood sugar management as well as to whether you have any complications in your eyes""Once damaged optic nerves are not easy to recover again and are likely to go blind, so early detection and treatment of neovascular glaucoma are very important.""

Director Park Sung-eun advised, "The treatment of renal vascular glaucoma induces degeneration of neovascular vessels in the anterior eye through pan-retinoptic coagulation and endoscopic injection, which reduces angiogenic factors, and if symptoms such as ophthalmic pain, conjunctival congestion, and corneal edema appear, you should immediately seek appropriate treatment from an ophthalmologist."

Why is it associated with glaucoma and diabetes
Seran Hospital Ophthalmologist Park Sung-eun


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