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Treatment of Diabetic Retinopathy

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostics of diabetic retinopathy
446
Conservative treatment of diabetic retinopathy (maculopathy)
1958
Laser retina coagulation for diabetic retinopathy
2040

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Ophthalmology

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnostics of diabetic retinopathy
1972 help1822
Conservative treatment of diabetic retinopathy (maculopathy)
8135 help7285
Laser retina coagulation for diabetic retinopathy
8928 help7778

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Adult and Pediatric Ophthalmology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostics of diabetic retinopathy
1796
Conservative treatment of diabetic retinopathy (maculopathy)
7238
Laser retina coagulation for diabetic retinopathy
7727

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Ophthalmology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostics of diabetic retinopathy
1748
Conservative treatment of diabetic retinopathy (maculopathy)
7034
Laser retina coagulation for diabetic retinopathy
7341

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Ophthalmology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostics of diabetic retinopathy
2398
Conservative treatment of diabetic retinopathy (maculopathy)
9467
Laser retina coagulation for diabetic retinopathy
10152

University Hospital RWTH Aachen

8.9/10
location_onGermany, Aachen

Department of Adult and Pediatric Ophthalmology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnostics of diabetic retinopathy
1859
Conservative treatment of diabetic retinopathy (maculopathy)
7690
Laser retina coagulation for diabetic retinopathy
8114

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Ophthalmology

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Diagnostics of diabetic retinopathy
1793
Conservative treatment of diabetic retinopathy (maculopathy)
7196
Laser retina coagulation for diabetic retinopathy
7626

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Adult and Pediatric Ophthalmology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnostics of diabetic retinopathy
1722
Conservative treatment of diabetic retinopathy (maculopathy)
6944
Laser retina coagulation for diabetic retinopathy
7354

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Ophthalmology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostics of diabetic retinopathy
2042
Conservative treatment of diabetic retinopathy (maculopathy)
8748
Laser retina coagulation for diabetic retinopathy
9033

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Ophthalmology

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostics of diabetic retinopathy
1743
Conservative treatment of diabetic retinopathy (maculopathy)
6991
Laser retina coagulation for diabetic retinopathy
7443

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Adult and Pediatric Ophthalmology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Diagnostics of diabetic retinopathy
1799
Conservative treatment of diabetic retinopathy (maculopathy)
7602
Laser retina coagulation for diabetic retinopathy
8080

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Ophthalmology

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostics of diabetic retinopathy
1573
Conservative treatment of diabetic retinopathy (maculopathy)
6414
Laser retina coagulation for diabetic retinopathy
6614

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Adult and Pediatric Ophthalmology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostics of diabetic retinopathy
1735
Conservative treatment of diabetic retinopathy (maculopathy)
6943
Laser retina coagulation for diabetic retinopathy
7311

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Ophthalmology

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnostics of diabetic retinopathy
1660
Conservative treatment of diabetic retinopathy (maculopathy)
6685
Laser retina coagulation for diabetic retinopathy
7057

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Ophthalmology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostics of diabetic retinopathy
1840
Conservative treatment of diabetic retinopathy (maculopathy)
7650
Laser retina coagulation for diabetic retinopathy
8057

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Ophthalmology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Diagnostics of diabetic retinopathy
1912
Conservative treatment of diabetic retinopathy (maculopathy)
7641
Laser retina coagulation for diabetic retinopathy
8092

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Ophthalmology

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Diagnostics of diabetic retinopathy
1818
Conservative treatment of diabetic retinopathy (maculopathy)
7365
Laser retina coagulation for diabetic retinopathy
7659
| from Booking Health GmbH

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.

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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