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University Hospital Cologne

9.8/10 from 82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Diagnostics of diabetic retinopathy
1546
Conservative treatment of diabetic retinopathy (maculopathy)
2780
Laser retina coagulation for diabetic retinopathy
2979
Surgical treatment of diabetic retinopathy with vitrectomy
3563
location_onCountry: Germany
location_searchingCity: Cologne
certificatecertificatecertificate

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Diagnostics of diabetic retinopathy
2238
Conservative treatment of diabetic retinopathy (maculopathy)
4033
Laser retina coagulation for diabetic retinopathy
4336
Surgical treatment of diabetic retinopathy with vitrectomy
4371
location_onCountry: Germany
location_searchingCity: Munich
certificatecertificatecertificate

University Hospital Frankfurt am Main

10/10 from 97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Diagnostics of diabetic retinopathy
2089
Conservative treatment of diabetic retinopathy (maculopathy)
3707
Laser retina coagulation for diabetic retinopathy
3859
Surgical treatment of diabetic retinopathy with vitrectomy
3888
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques.

Diagnostics of diabetic retinopathy
1605
Conservative treatment of diabetic retinopathy (maculopathy)
2939
Laser retina coagulation for diabetic retinopathy
3641
Surgical treatment of diabetic retinopathy with vitrectomy
3660
location_onCountry: Germany
location_searchingCity: Karlsruhe

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently.

Diagnostics of diabetic retinopathy
1700
Conservative treatment of diabetic retinopathy (maculopathy)
3717
Laser retina coagulation for diabetic retinopathy
3995
Surgical treatment of diabetic retinopathy with vitrectomy
3999
location_onCountry: Germany
location_searchingCity: Krefeld

DKD HELIOS Clinic Wiesbaden

9.2/10 from 5 Votes

German Clinic for Diagnostics is a combination of the highest professionalism of the staff and the most up-to-date medical devices, therefore it is known far beyond Germany.

Diagnostics of diabetic retinopathy
1622
Conservative treatment of diabetic retinopathy (maculopathy)
2996
Laser retina coagulation for diabetic retinopathy
3747
Surgical treatment of diabetic retinopathy with vitrectomy
3699
location_onCountry: Germany
location_searchingCity: Wiesbaden

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe.

Diagnostics of diabetic retinopathy
1640
Conservative treatment of diabetic retinopathy (maculopathy)
3651
Laser retina coagulation for diabetic retinopathy
3935
Surgical treatment of diabetic retinopathy with vitrectomy
3990
location_onCountry: Germany
location_searchingCity: Hamburg

PAN Clinic Cologne

9/10 from 14 Votes

The PAN Clinic has gained universal recognition due to highly professional doctors and their responsive and careful approach to the treatment.  A team of experienced doctors specialized in 25 medical focuses takes care of the patients' health.

Diagnostics of diabetic retinopathy
2049
Conservative treatment of diabetic retinopathy (maculopathy)
3629
Laser retina coagulation for diabetic retinopathy
3933
Surgical treatment of diabetic retinopathy with vitrectomy
3871
location_onCountry: Germany
location_searchingCity: Cologne

University Hospital Muenster

9.8/10 from 78 Votes

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis.

Diagnostics of diabetic retinopathy
1604
Conservative treatment of diabetic retinopathy (maculopathy)
3697
Laser retina coagulation for diabetic retinopathy
3957
Surgical treatment of diabetic retinopathy with vitrectomy
3880
location_onCountry: Germany
location_searchingCity: Muenster
certificatecertificatecertificatecertificate certificate

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

The Tel Aviv Sourasky Medical Center (Ichilov) is the second largest and one of the most advanced healthcare and research institutions in Israel. Founded in 1961, it still enjoys popularity among the local population and draws thousands of international patients.

Diagnostics of diabetic retinopathy
0.00
Conservative treatment of diabetic retinopathy (maculopathy)
0.00
Laser retina coagulation for diabetic retinopathy
0.00
Surgical treatment of diabetic retinopathy with vitrectomy
0.00
location_onCountry: Israel
location_searchingCity: Tel Aviv

Hannover Medical School

9.8/10 from 43 Votes

The Hannover Medical School (MHH) is one of the most efficient medical universities in Germany, treating more than 63,000 inpatients and 460,000 outpatients annually.

Diagnostics of diabetic retinopathy
2013
Conservative treatment of diabetic retinopathy (maculopathy)
3801
Laser retina coagulation for diabetic retinopathy
3808
Surgical treatment of diabetic retinopathy with vitrectomy
3954
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Rambam Health Care Campus is the largest and the most advanced hospital in Northern Israel. Founded in 1938, the medical center has a long history and a rich experience in providing comprehensive medical services in all medical specialties.

Diagnostics of diabetic retinopathy
0.00
Conservative treatment of diabetic retinopathy (maculopathy)
0.00
Laser retina coagulation for diabetic retinopathy
0.00
Surgical treatment of diabetic retinopathy with vitrectomy
0.00
location_onCountry: Israel
location_searchingCity: Haifa

Academic Hospital Schlosspark Berlin

9.7/10 from 23 Votes

The Schlosspark Academic Teaching Hospital at the University Hospital Charite has an excellent reputation and an outstanding service. All specialized departments are headed by renowned doctors. The departments offer a wide range of medical services.

Diagnostics of diabetic retinopathy
1604
Conservative treatment of diabetic retinopathy (maculopathy)
3707
Laser retina coagulation for diabetic retinopathy
3906
Surgical treatment of diabetic retinopathy with vitrectomy
3977
location_onCountry: Germany
location_searchingCity: Berlin

Hospital Waldbrol Oberberg

9.7/10 from 23 Votes

The Waldbröl District Hospital has the state-of-the-art medical equipment and is the certified Cancer Center. The key goal of the Hospital is to provide patients with a competent individual medical care and nursing.

Diagnostics of diabetic retinopathy
1523
Conservative treatment of diabetic retinopathy (maculopathy)
2913
Laser retina coagulation for diabetic retinopathy
3532
Surgical treatment of diabetic retinopathy with vitrectomy
3570
location_onCountry: Germany
location_searchingCity: Waldbrоl

Hospital Gummersbach Oberberg

9.6/10 from 23 Votes

The Hospital Gummersbach Oberberg offers patients a wide range of medical services. It is staffed by highly qualified doctors and medical staff who take care of the patients' health 24 hours a day. The main task of the hospital is to provide medical treatment and care meeting all the patients’ needs.

Diagnostics of diabetic retinopathy
1551
Conservative treatment of diabetic retinopathy (maculopathy)
2829
Laser retina coagulation for diabetic retinopathy
2961
Surgical treatment of diabetic retinopathy with vitrectomy
2971
location_onCountry: Germany
location_searchingCity: Gummersbach

University Hospital Duesseldorf

9.5/10 from 71 Votes

The University Hospital Dusseldorf  is a maximum-care hospital, and as such, we at Dusseldorf University, or UKD, are a byword for international top-quality service in all areas of medical care.

Diagnostics of diabetic retinopathy
2113
Conservative treatment of diabetic retinopathy (maculopathy)
4044
Laser retina coagulation for diabetic retinopathy
4236
Surgical treatment of diabetic retinopathy with vitrectomy
4255
location_onCountry: Germany
location_searchingCity: Duesseldorf
certificatecertificatecertificatecertificate

About the disease

Diabetic retinopathy is disease of an eye, which mainly occurs because of diabetes.  Diabetic retinopathy develops due to damage of retinal vessels of the light-sensitive tissue at the back of the eye. This disease is believed to occur to 30% of patients with diabetes. Diabetic retinopathy is most likely to develop among people who have either type first or second of diabetes. According to NHS, medical site, children with diabetes who are over 12 should regularly check up their eyes, because they are in higher risk. New studies showed that conventional therapy and intensive management of diabetes reduces probability of  DR appearance by 74% and occurrence of proliferative retinopathy - by 57%.

Types of diabetic retinopathy:

  • Nonproliferative DR, which is mostly characterized by occlusion, blurring and increased permeability of some retinal vessels.
  • Preproliferative DR is a more severe stage of this disease, which precedes the appearance of proliferative retinopathy.
  • Proliferative diabetic retinopathy develops if there was occlusion of capillaries and extensive areas of retina were damaged.
  • Diabetic macular edema which is the last stage of diabetic retinopathy is characterized by loss or damage of central portion of the retina. This complication does not always result blindness, but a person can lose ability to read, concentrate or distinguish the smallest objects. Macular edema is common for people with proliferative form of DR, but it can also occur in nonproliferative DR.

As it was mentioned before, DR is caused by diabetes. It happens because excessive amount of sugar in blood destroys certain vessels that bring nourishment and blood supply to retina. Without these vessels eye start to develop its own blood vessels, but they can not work as effectively as proper ones did, and then there is leakage, which destroys retina.

Also people who do not check their blood sugar level regularly can develop diabetic retinopathy. In rare cases high blood pressure and pregnancy can also cause DR.

Symptoms

  • Blurriness
  • Contorted color and object perception
  • Spots
  • Dark areas in vision

In its early forms, diabetic retinopathy is almost always painless and patient might not even notice loss of vision. As disease progresses, a person can develop intraocular hemorrhage, accompanied by appearance of veil in front of the eye and strange dark spots, which disappear after some time. Massive vitreous hemorrhage can lead to complete loss of vision. Macular edema can also cause an appearance of veil in front of an eye. It can become difficult to work with small objects or read.

Diagnosis

Diagnosis is usually done during simple examination of diluted pupils to examine the state of retina. Usually, he uses special drops that can significantly dilate pupils. These drops can cause blurring of vision, but it always wears off after several hours. Strange new blood vessels or swelling of retina can indicate that a patient has diabetic retinopathy. Some abnormalities in optic nerve can also indicate presence of DR. Angiography helps to make a picture of an eye and assess its state for any changes in its structure. Tomography can also show pictures of an eye and it also determines the thickness of retina. 

Treatment

  • Vitrectomy is required if there was massive intraocular hemorrhage or if proliferative retinopathy caused significant decrease of vision. During vitrectomy an eye surgeon removes blood clots from eye cavity. If possible, he also removes the back of hyaloid membrane which is located between retina and vitreous body. This hyaloid membrane does not play any important role in eye function, but it can cause the development of proliferative retinopathy.
  • Laser coagulation can restore functionality of the retina. In this treatment doctor uses heat to destroy leaking and damaged blood vessels. Laser treatment is more preferable than surgery, as it can be performed on an outpatient basis and it also has less complications. Laser treatment mainly aims to destruct areas of retinal hypoxia, which is a source of newly-formed blood vessels that cause retina leakage. Laser can also increase direct entry of oxygen from retina choroid and provide thermal coagulation of newly formed blood vessels to protect them from  spreading and causing vision problems. For diabetic retinopathy treatment laser can be applied throughout all parts of retina, excluding only its central parts. The newly-formed blood vessels undergo focal laser irradiation. This surgical method is especially highly effective in early treatment and cure rate is almost 100%. In severe cases effectiveness of laser treatment is reduced. If a person has diabetic macular edema laser exposures of central parts of retina can also be applied. Long-term treatment effects are largely determined by the stage of diabetes and by extent of damage that excessive blood sugar level causes to eyes.
  • Conservative treatment is usually applied in combination with other treatment options.. Patient with diabetic retinopathy is recommended to spend much time sitting with closed eyes. This simple method facilitates bleeding of vessel thrombosis. If there was a sufficient increase of optical media transparency after conservative treatment, laser treatment is required. If there was no increase of transparency, he may need to undergo vitrectomy. 

Most patients who suffered from diabetes more than 10-12 years have some form of retinal lesion problem. Careful monitoring and assessment of glucose levels, dietary restrictions and healthy lifestyle can reduce risk of blindness by several times. However, the most effective preventive measure for people with a long-term diabetes is regular examination at an ophthalmologist.




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